Inpatient Senior Pediatric Coder - Hybrid

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    "ExternalDescriptionStr": "<p><strong><u>This position follows a hybrid model with 1-2 onsite days.</u></strong></p>\n<p><i><span>$15k Sign On Bonus eligible</span></i></p>\n<p>Job Description</p>\n<p>&nbsp;</p>\n<p>Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures &nbsp;the accuracy, completeness, and compliance of medical coding and documentation for all &nbsp;pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity.</p>\n<p>Job Responsibility</p>\n<p>&nbsp;</p>\n<p>1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS).<br>\n  2.Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and assign the most accurate and specific codes.&nbsp;<br>\n  3.Leverages coding resources, reference materials (e.g. online coding platforms, coding manuals, payer policies), and internal expertise to ensure accurate code selection, understand coding rules, and apply guidelines effectively.&nbsp;<br>\n  4.3Demonstrates a comprehensive understanding of the impact of coding decisions on the revenue cycle, including reimbursement, denials, and compliance.&nbsp;<br>\n  5.Proactively facilitates clarification of provider clinical documentation to ensure accuracy, completeness, and integrity in the medical record, using effective communication techniques.&nbsp;<br>\n  6.Maintains strict adherence to all government regulations), departmental policies, and contractual agreements related to coding and billing practices.<br>\n  7.Performs comprehensive internal audits of coding practices to identify areas for improvement, reduce coding errors, and mitigate potential compliance risks.<br>\n  8.Develops and implements corrective action plans to address identified coding deficiencies.<br>\n  9.Collaborates effectively with physicians, nurses, and other healthcare providers to clarify documentation ambiguities, resolve coding discrepancies, and ensure accurate and complete medical records.<br>\n  10.Acts as a coding resource for other members of the clinical and administrative teams in real-time.&nbsp;<br>\n  11.Develops and delivers targeted feedback and training to providers on documentation and coding best practices, focusing on areas for improvement and compliance requirements.<br>\n  12.Creates and maintains educational materials related to coding and documentation guidelines.<br>\n  13.Actively stays abreast of changes in coding guidelines, regulations (e.g., CMS updates, payer-specific policies), and coding software updates.<br>\n  14.Proactively enhances coding skills through continuing education, professional certifications, and participation in industry conferences and webinars.<br>\n  15.Stays updated on the latest advancements in pediatric medicine and their impact on coding practices</p>\n<p>Job Qualification</p>\n<p>&nbsp;</p>\n<ul>\n <li>High School Diploma or equivalent required.&nbsp;</li>\n <li>3 - 5 years of technical experience, required.&nbsp;</li>\n <li>Minimum 1 year experience in pediatric coding and documentation at acute care facility, required.&nbsp;</li>\n <li>CPC certification, required. CPEDC certification, preferred. CCS/CIC certification, preferred.</li>\n <li>Prior experience with inpatient facility coding, preferred.</li>\n</ul>\n<p>&nbsp;</p>\n<p>This position follows a <strong>hybrid model</strong>, with 1–2 on-site days per week and the remainder remote.</p>\n<p><br><strong>*Additional Salary Detail</strong>&nbsp;<br>\n  The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).</p>",
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