Clinical Coding Analyst; Remote

Essential Job Duties and Responsibilities :

• Clinical Coding Analysts are assigned to a specific client(s) and have the primary responsibility of daily pre‑bill chart reviews and communication via recommendations, questions, or rebuttals to the client within a 24‑hour time frame for each chart reviewed.
• Review the electronic health record to identify both revenue opportunities and potential coding compliance issues based on ICD‑10‑CM/PCS coding rules, AHA Coding Clinics, and clinical knowledge.
• Provide verbal review on all cases with a potential MS DRG recommendation and/or physician query opportunities with the physician(s) via telephone call prior to submitting recommendations to the client.
• Ensure that the daily work list is uploaded into the MS DRG Database for assigned client(s) and enter the required data elements for each patient recommendation into the database.
• Prepare and compose all recommendations, including increased reimbursement, decreased reimbursement, and “FYI” for each account, and communicate them to the client within 24 hours of receiving and reviewing the electronic medical record.
• Follow internal protocol on all client questions and rebuttals on cases reviewed within 24 hours of receipt.
• Review and appeal, if warranted, Medicare and/or third‑party denials on charts processed through the MS DRG Assurance program.
• Review inclusions and exclusions specific to 30‑Day Readmissions and Mortality quality measures on specific cohorts for traditional Medicare payers for specific clients.
• Maintain IT access at all client sites assigned by ensuring that login and passwords have not expired.
• Maintain current knowledge of ICD‑10‑CM/PCS code changes, AHA Coding Clinic, and utilize internal resources such as Tru Code and CDocT.
• Adhere to all company policies and procedures.

• AHIMA credential of CCS, CDIP, or ACDIS credential of CCDS is required. A graduate of an accredited Health Information Technology or Administration program with an AHIMA credential of RHIT or RHIA is preferred.
• Minimum of 7 years of acute inpatient hospital coding, auditing, and/or CDI experience in a large tertiary hospital is required.
• Experience with CDI (Clinical Documentation Improvement) programs is preferred.
• Extensive knowledge of ICD‑10‑CM/PCS is required.
• Experience with electronic health records (e.g., Cerner, Meditech, Epic, etc.) is required.
• Experience working remotely is required.
• Excellent oral and written communication skills are required.
• Must demonstrate analytical ability, initiative, and resourcefulness.
• Ability to work independently is required.
• Excellent planning and organizational skills are required.
• Teamwork and flexibility are required.
• Must be proficient in Microsoft Office Word and Excel programs.

Your schedule can be flexible based on your time zone and preferences. While our company generally operates between 8:00 AM and 5:00 PM EST/CST, you will schedule your two daily 20‑minute physician meetings anytime between 7:30 AM and 6:00 PM EST, allowing you to align your workday within this window for optimal collaboration. If you need to adjust your schedule for appointments or personal commitments, you can coordinate with your manager to ensure all charts are completed within the required timeframe.

Video Call (1 hour).

Clinical Coding Analyst Remote
• Scottsdale, AZ