Coding Reviewer

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⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $40 - $45 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

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LivantaLLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

⚕️ Healthcare Insurance

📚 Education

Healthcare Insurance • Education • Data Management

Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.

📋 Description

• The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation. • Performs compliance audits employing specified protocols and criteria; conducts data abstraction and collection activities; interprets and applies coverage and payment policies, edits, and certification and regulatory requirements for medical necessity and other audit decisions; classifies findings and provides commentary for clinical data, qualitative, and statistical analyses; records rationale for and basis of audit findings using proper grammar and communication methods; writes reports in accordance with company requirements. • Provides feedback to hospitals concerning audit findings and discusses rationales for audit decisions. • Performing audit functions for the HSCRC Inpatient/Outpatient Data Abstract Review Contract in a timely and accurate manner. • Generating well-written deliverables and audit work papers. Outstanding verbal communication skills. Outstanding communications and interactions with hospital and client personnel.

🎯 Requirements

• 5 years of relevant experience performing complex coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the healthcare industry, including but not limited to, State of Maryland, in particular. • Ability to research, determine, and apply solutions. • Ability to communicate effectively with other reviewers and clients to ensure quality of audit findings and acceptance and understanding of findings. • Practical knowledge of and ability to comply with Health Insurance Portability and Accountability Act (HIPAA), and other laws and regulations pertaining to confidentiality, privacy of protected health information, personally identifiable information, and other sensitive information. • Practical knowledge of and ability to comply with system and information security requirements.