Senior Coding Specialist

Job not on LinkedIn

🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $70k - $85k / year

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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LivantaLLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

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

• Perform validation of Medicare Severity Diagnosis Related Groups (MS-DRG) reviews • Maintain required coding accuracy and productivity levels • Review electronic and scanned medical records and compare hospital-submitted codes with documentation • Maintain concurrent case entries in the case review information system • Record clear and concise rationales for review decisions with appropriate references • Interact with physicians to obtain medical input affecting coding decisions • Ensure coder and physician rationales are precise and complete • Interact with educators regarding potential hospital coding patterns • Compose provider letters explaining review details and recommending changes to submitted codes and MS-DRGs • Protect patient information through HIPAA and HITECH compliance • Attend required annual training • Perform other duties as assigned

🎯 Requirements

• Independently review, accurately assign, and abstract diagnostic and procedural codes using designated coding classifications • Advanced knowledge of ICD-10 codes and DRG classification system • Experience using Encoder, Grouper, and AHA Coding Clinic • Current unrestricted RHIA, RHIT, or CCS credentials preferred • License must be recognized in the jurisdiction(s) relevant to assigned work • RNs and other personnel with medical degrees considered with a proven track record of auditing clinical coding and supporting clinical documentation • Ability to apply all relevant ICD-10 diagnosis and procedure coding guidelines for appropriate MS-DRG assignment • Senior-level inpatient hospital coding experience • Ability to write in plain language and summarize medical facts and coding principles with authoritative references • Ability to coordinate work and communicate efficiently with physician reviewers • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Must notify a Livanta HR Manager within five calendar days of any status change or disciplinary proceeding involving licenses or certifications • Must comply with HIPAA and HITECH confidentiality requirements • Must attend annual security awareness, rules of conduct, and conflict of interest training

🏖️ Benefits

• Fully remote work arrangement • Reasonable accommodations for individuals with disabilities • Equal employment opportunity • Extended work hours, weekends, holidays, and on-demand work may be available