'); ?> Coding Managers, CDI, and Audit Consultants


The Hutton Group, Inc.
1855 Bridgepointe Circle, Ste 23
Vero Beach, FL 32967
Phone (772) 770-1787
FAX (772) 365-7766

THE HUTTON GROUP

JOB OPPORTUNITIES

CANDIDATE RESOURCES


Coding Managers / CDI & Audit Consultants

 

 

Posting # Position Title Location
# CD03092015
INPATIENT MEDICAL CODER (can be remote)
Miami, FL

FACILITY DESCRIPTION: Acute care facility

FACILITY SIZE: 500+

REPORTS TO: Coding Supervisor

POSITION DESCRIPTION:

  • Performs coding and abstracting on inpatients medical records by selecting and documenting ICD9-CM Diagnoses and procedure codes and CPT 4 codes.
  • Assigns correct APCs with coding accuracy rate of 95% or greater.
  • Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc.) with an accuracy rate of 95% or greater.
  • Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Co-morbidity compliance).

REQUIRED EDUCATION/EXPERIENCE:

  • 2 years of inpatient coding ICD9-CM and CPT-4 is required
  • RHIA Or RHIT Or CCS or eligible to test for one of these and become certified w/n 12 months of employment
  • Associates degree in Health Information Management or completion of Coding Specialist Program

ADDITIONAL INFORMATION: Excellent benefits, sig-on bonus plus retention bonus

SALARY: $50 - $70K + $3K SIGN-ON + $5 + $7K Retention bonus


Contact : Joan Hutton at The Hutton Group Inc.
Phone:
(772) 770-1787

Posting # Position Title Location
# CD04092015
HIM LEAD CODING SPECIALIST
Miami, FL

FACILITY DESCRIPTION: Acute care facility

FACILITY SIZE: 500+ beds

REPORTS TO: Coding Manager

POSITION DESCRIPTION:

Provides area coverage in the absence of a manager.
• Coordinates scheduling and efforts of other Coders, trains and mentors staff. Will run reports as required and requests and submit a weekly volume log
• Codes all diagnosis, treatments, and procedures (3M), according to the appropriate classification system for the category of patient type.
• Participates in DRG optimization review.
• Completes the daily coding of assigned inpatient, surgery.
• Coordinates daily workflow to assure that the unbilled and failed claims goals are met weekly.
• Monitors failed bill daily to assure weekly goal.
• Work closely with the HIM Operations, business office, & vary departments with emails and to receive non coded charts in a timely manner.
• Assists the Coding Manager with the training and orienting of new employees.
• Assist the Coding Manager with monthly reports ex: CDI, Audits, Review & etc.

REQUIRED EDUCATION/EXPERIENCE:

• RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) required.
• CCS (Certified Coding Specialist) along with formal education in human anatomy, physiology, disease processes and medical terminology is preferred.
• Knowledge of ICD-9-, ICD-10 and CPT-4 coding principles and guidelines are required as well as knowledge of Prospective Payment Systems and understanding of the revenue cycle process.
• Proven ability to conduct coding audits. In acute care.
• Must possess a clear understanding of DRG's and APR DRG.
• Demonstrated proficiency in computer skills including word processing, spreadsheets and database programs is required.
• Effective communication, interpersonal and organizations skills required.


ADDITIONAL INFORMATION:

SALARY: $75 - $85K +$3K SIGN-ON + $7K RETENTION + RELO


Contact : Joan Hutton at The Hutton Group Inc.
Phone:
(772) 770-1787

Posting # Position Title Location
# CD07042016
CODING COMPLIANCE SPECIALIST
Boulder, CO

FACILITY DESCRIPTION: Regional Medical Center

FACILITY SIZE: 58 bed full service acute care hospital with multiple free-standing clinics
Own & manage multi physician group practices

REPORTS TO: Director HIM

POSITION DESCRIPTION:
Executes and maintains Coding Compliance Plan for Diversified Services as well as conducting audits of practitioner documentation and procedural coding. Provides practitioner and ancillary staff education.

• Analyzes and reviews medical documentation for appropriateness & completeness & ensures application of all appropriate procedural codes, diagnosis codes and modifiers to all Professional Fee Services
• Reviews medical records for adherence to all Teaching Physician Guidelines
• Reviews and analyzes Governmental and third party payer requests relating to Diversified Services such as ADR’s, CERT, RAC, pre-payment probes and audits to ensure billed services are in compliance with applicable rules and regulations for each payer.
• Reviews medical record and prior billing statistics by provider and patient to ensure adherence to Local and National Coverage decisions including billing parameters. Compares to benchmarks as appropriate and performs follow-up with providers as necessary to understand material variances from benchmark. Documents follow-up and any corrective actions for the compliance files.
• Ensures audit findings are accurately entered and depicted in applicable billing systems status post review.
• Supports Diversified Services Chargemaster maintenance.

REQUIRED EDUCATION/EXPERIENCE:

    • Current CCS-P, or CPC certification required.
    • Certified as a Certified Professional Medical Auditor (CPMA), preferred.
    • Certified Healthcare Compliance or be willing to obtain within 30 months of hire.
    • Proficient in ICD-10CM, CPT, and HCPCS coding
    • Prior experience in professional billing, evaluation and management coding preferred
    • Must have in-depth knowledge of Medicare and Medicaid billing and coding requirements and those CMS coding requirements published in Coding Clinic.
    • Strong knowledge of documentation requirements, unbundling edits and physician/outpatient hospital billing requirements including reimbursement methodol


ADDITIONAL INFORMATION:

• Interview arrangements made & paid for by hospital
• Generous relocation package & excellent benefits
• Up to 3 months temporary housing

SALARY: $61K to $92K


Contact : Joan Hutton at The Hutton Group Inc.
Phone:
(772) 770-1787