Lead Clinical Data Specialist

Job not on LinkedIn

🔥 2 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $35 - $55 / hour

⏰ Full Time

🟠 Senior

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MSK

WebsiteLinkedInAll Job Openings

201 - 500 employees

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

MSK is a UK-based site services company (Multi Services Kent) with over 20 years’ experience supplying site support to the construction sector. The company provides logistics management, site strip-out and set-up, protection, security and access control, waste management and recycling, rail consolidation, plant and tools, and related pre-construction services, with a focus on safety, sustainability and social value.

📋 Description

• Review inpatient and outpatient encounters and assign accurate ICD-10-CM and CPT-4 codes • Analyze medical records, diagnoses, procedures, complications, and treatment details to capture complete and appropriately specific clinical data • Identify and correct improper codes for medical and legal accuracy, regulatory reporting, reimbursement, research, planning, and statistical analysis • Investigate coding inconsistencies, inaccuracies, omissions, billing rejections, and denials, providing supporting documentation and follow-up • Partner with HIM leadership, physicians, Revenue Integrity, Patient Billing, and Radiology leadership to resolve documentation and coding issues • Lead, train, and mentor Clinical Data Specialists; review their work and explain coding rationales • Serve as a primary administrator for CodeAssist; collaborate with 3M CEE, submit technical tickets, and assist with system testing, coding-rule adjustments, and connection issues • Collaborate with Nuclear Medicine, General Radiology, Interventional Radiology, and Breast modalities to improve coding and documentation • Support special projects including charge master maintenance, charge mapping, fee coordination, coding updates, rejection correction, and year-end code changes

🎯 Requirements

• High school diploma or GED required • Four to seven years of professional coding experience required • Current certified coding credential required, e.g., CPC, CCS, CCS-P • Advanced knowledge of ICD-10-CM and CPT-4 coding guidelines • Experience reviewing inpatient and outpatient encounters, Radiology medical records, billing rejections, coding edits, and clinical documentation preferred • Proficiency using coding, clinical, billing, and reporting systems, including Excel • Experience with Epic, HIS, CodeAssist or comparable platforms is highly relevant • Ability to interpret complex clinical information and produce accurate, compliant coding • Ability to guide coders through constructive review, practical training, and clear explanations of coding decisions • Ability to investigate root causes and recommend systematic improvements • Ability to meet established quality and productivity standards and maintain accurate reporting