Clinical Coding Analyst RN, Consultant
Ascendiun
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- Location
- Long Beach, CA
- Job type
- Full time
- Posted
- Oct 7
- 10 days ago
Career path
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About the company
Ascendiun
Hospital & health care · 2 to 10 employees
What you'll do
- Support the FCR team and a small clinical coder team in performing in-depth quality audits of hospital claims.
- Review ICD-10-CM and ICD-10 PCS codes, EDC, MS-DRG, and APR-DRG based on clinical determination.
What you need
- <p style="line-height: normal; margin-bottom: 0in;">Associate’s degree in nursing is required</p>
- <p style="line-height: normal; margin-bottom: 0in;">Current unrestricted California RN License and/or in assigned states. If assigned an additional state, they must obtain the CA RN license (in addition to primary assigned state license) within 90 days of hire</p>
- <p style="line-height: normal; margin-bottom: 0in;">7 years of prior relevant experience required</p>
- <p style="line-height: normal; margin-bottom: 0in;">3 years’ inpatient coding experience required</p>
- <p style="line-height: normal; margin-bottom: 0in;">One of the following is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC-CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Integrity Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP)</p>
- <p style="line-height: normal; margin-bottom: 0in;">Utilization management (UM) experience is required</p>
- <p style="line-height: normal; margin-bottom: 0in;">Ability to analyze claim data analytics is required</p>
- <p style="line-height: normal; margin-bottom: 0in;">Health plan experience (managed care) preferred</p>
- <p style="line-height: normal; margin-bottom: 0in;">Strong attention to detail</p>
- <p style="line-height: normal; margin-bottom: 0in;">Arbitration experience preferred </p>
- <p style="line-height: normal; margin-bottom: 0in;"> Requires independent motivation, solid work ethic, and strong computer navigation skills</p>
- <p style="line-height: normal; margin-bottom: 0in;">Familiarity with electronic health record (EHR) systems, Oracle (Cerner) and Emergency Department EM leveling experience preferred</p>
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Read the full posting here
The Clinical Coding Analyst RN, Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination.