Medical Record Reviewers - Austin, TX, United States - Guidehouse

Guidehouse Austin, TX, United States

4 days ago

Description

Travel Required :

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.

This position will require two days working onsite at a major hospital facility in Austin, Texas and three days working remotely.

Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding.

Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant
Initiates compliant physician queries when documentation is confusing, ambiguous or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: " Managing an Effective Query Process ", October 2008 and "Guidance for Clinical Documentation Improvement Programs" , May

At least 2 years acute care inpatient hospital coding or CDI experience
Maintain current working knowledge of Official Coding Guidelines and Coding Clinics
Strong knowledge of medical terminology, anatomy, physiology, microbiology and disease processes
Strong typing and computer skills; proficiency with HER systems, CDI software systems and encoders

Medical Coders- previous inpatient medical record review experience
LI-Remote

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Medical, Rx, Dental & Vision Insurance
~ Personal and Family Sick Time & Company Paid Holidays
~ 401(k) Retirement Plan
~ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
~ Short-Term & Long-Term Disability
~ Tuition Reimbursement, Personal Development & Learning Opportunities
~ Corporate Sponsored Events & Community Outreach
~ All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at .All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

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