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Remote Medical Coder- Hospital Inpatient- Navigant- Remote L

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Job Details
Job Order Number
Company Name
Navigant Consulting Inc.
Physical Address

DOVER, DE 19904
Job Description

With a unique blend of large firm resources and an entrepreneurial collaborative culture, Guidehouse is where your purpose, passion, and expertise transform organizations. Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. If you’re passionately motivated to make a difference and deliver exceptional work, we invite you to learn more about your career opportunities at

Navigant Consulting Inc. (a Guidehouse Company) segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed care services, digital health, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing performance improvement and business process management solutions that help them meet quality and financial goals. You will make an immediate impact from day one, working with a team to provide end-to-end solutions. We don’t simply put band-aids on our client’s issues, we are working side-by-side with them. Are up for the challenge?

The Remote Medical Coder- Hospital Inpatient will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets.

+ Computer Literacy.

+ Good working knowledge of Anatomy and Physiology as well as Medical Terminology.

+ Advanced knowledge of Coding clinics ICD-10-CM and PCS.

+ Ability to analyze Provider documentation and assign codes accurately.

+ Excellent verbal and written Communication Skills.

+ Strong knowledge and application of Government and other payer guidelines as they relate to compliant coding.

+ High level of Accuracy and Productivity. Meets or exceeds standards consistently.

+ Ability to work independently.

+ HIPAA compliant work stations.

+ Strong working knowledge of Protected Health Information.

+ Maintains professional credentials at all times.

+ Organizational Skills.

+ Knowledge of Microsoft Word and Excel.

+ Demonstrates the ability to perform quality coding on ancillary charts, clinic charts, and emergency room records.

+ Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

+ Assures that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

+ Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity.

+ Ability to maintain average productivity standards as follows: 3 IP charts per hour (These productivity standards are Navigant general expectations and are subject to change based upon Navigant client agreements and/or other factors as determined by management. Notification of expected productivity will be conveyed by Management prior to assignment of a client project).

+ Responsible for following facility specific policies and procedures.

+ Works pending queues daily.

+ Works NavAudit review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility.

+ Queries physicians whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant reportable condition or procedure.

+ Follows facility query policy and CDI reconciliation process.

+ Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process See re-bill policy in facility guidelines.

+ Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met.

+ Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.

+ Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.

+ Responsible for coding or pending every chart placed in their queue within 24 hours.

+ It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard.

+ Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.

+ Communicates problems or coding principle discrepancies to their supervisor immediately.

+ Communication in emails should always be professional (reference e-mail policy).

+ Clocks in and out of ADP during work shift and enters billing hours into NavCentral People Soft to ensure all employee hours are correct and ensure the correct task codes have been used.

+ Work closely with client IT departments and Navigant IT to resolve system issues.

+ Responsible reviewing and updating Client Portal, and using the information contained on the Portal as a daily tool to correctly code and abstract for each facility.

+ Responsible for checking email system at least every two hours during work hours.

+ Communication in emails should always be professional (reference e-mail policy).

+ Must maintain current professional credentials.

+ Coder is to maintain a working knowledge of all Coding Clinic Guidelines.

+ Complete CE education provided by Navigant and turns in certificates timely.

+ Responsible for maintaining HIPAA compliant work stations (reference HIPAA work station policy).

+ Responsible for maintaining patient privacy always (reference company handbook policy compliance section 105).

+ 3 years previous experience coding Inpatient records.

+ 3-5 years ICD-10 and PCS coding experience.

+ Must be hold one of the following credentials: RHIA, RHIT, CCS, CIC

+ Must have minimum three years of coding experience.

+ Abide by all client policies and procedures.

+ Abide by all Navigant policies and procedures.

+ Must have experience working in systems such as EPIC, Cerner, Next Gen, Allscripts or other EHR.

+ Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.

+ Strong conceptual, as well as quantitative and qualitative analytical skills

+ Work as a member of a team as well as be a self-motivator with ability to work independently

+ Constantly operates a computer and other office equipment to coordinate work

+ Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

+ Generally works in an office environment

+ This position re

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