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Medical Coder - Inpatient, Level 1 Trauma Hospital

Company: Guidehouse
Location: Hartford
Posted on: November 24, 2022

Job Description:


Guidehouse is a leading global provider of consulting services to the public sector and commercial markets, with broad capabilities in management, technology, and risk consulting. By combining our public and private sector expertise, we help clients address their most complex challenges and navigate significant regulatory pressures focusing on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that help our clients outwit complexity and position them for future growth and success. The company has more than 12,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit www.guidehouse.com.


The Inpatient Level 1 Trauma Hospital Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This position is full time and 100% remote.

Duties and Responsibilities:

--- Demonstrates the ability to perform quality hospital coding on Inpatient accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.--- Maintains a working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.--- Assures that all services documented in the patient's chart are coded with appropriate ICD-10/PCS codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.--- Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity. --- Ability to maintain average productivity standards as follows: 2 IP charts per hour (These productivity standards are Guidehouse general expectations and are subject to change based upon Guidehouse client agreements and/or other factors as determined by management. Notification of expected productivity will be conveyed by Management prior to assignment of a client project).--- Responsible for following facility specific policies and procedures--- Works pending queues daily--- Works GuideAudit review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility.--- Queries physicians whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant reportable condition or procedure. --- Follows facility query policy and CDI reconciliation process--- Charts that require re-bills are corrected and communicated to the facility daily for the re- bill process. See re-bill policy in facility guidelines.--- Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met.--- Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.--- Provides accurate answers to physician's/hospitals coding and/or billing questions within eight hours of request.--- Responsible for coding or pending every chart placed in their queue within 24 hours.--- It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard.--- Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.--- Communicates problems or coding principle discrepancies to their supervisor immediately.--- Communication in emails should always be professional (reference e-mail policy).--- Clocks in and out of ADP during work shift and enters billing hours into People Soft to ensure all employee hours are correct and ensure the correct task codes have been used.--- Work closely with client IT departments and Guidehouse IT to resolve system issues--- Responsible reviewing and updating Client Portal, and using the information contained on the Portal as a daily tool to correctly code and abstract for each facility.--- Responsible for checking email system at least every two hours during work hours.--- Communication in emails should always be professional (reference e-mail policy).--- Must maintain current professional credentials --- Coder is to maintain a working knowledge of all Coding Clinic Guidelines.--- Complete CE education provided by Guidehouse and turns in certificates timely.--- Responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)--- Responsible for maintaining patient privacy always (reference company handbook policy compliance section 105)



--- 5 years of extensive coding experience in a large acute care setting

--- 5 years ICD-10 and PCS coding experience in level 1 trauma hospital--- Must have a current valid CCS certification from AHIMA--- Must have 3M and Epic experience--- Abide by all client policies and procedures--- Abide by all Guidehouse policies and procedures

Additional Requirements

The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

The pay range for this position is $34-$36 and may vary depending on experience and location.


About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. 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.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

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 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

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.

Benefits include:

+ Medical, Rx, Dental & Vision Insurance

+ Personal and Family Sick Time & Company Paid Holidays

+ Position may be eligible for a discretionary variable incentive bonus

+ Parental Leave and Adoption Assistance

+ 401(k) Retirement Plan

+ Basic Life & Supplemental Life

+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

+ Short-Term & Long-Term Disability

+ Tuition Reimbursement, Personal Development & Learning Opportunities

+ Skills Development & Certifications

+ Employee Referral Program

+ Corporate Sponsored Events & Community Outreach

+ Emergency Back-Up Childcare Program



Keywords: Guidehouse, Hartford , Medical Coder - Inpatient, Level 1 Trauma Hospital, Healthcare , Hartford, Connecticut

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