Job Description
Job Description
Job Summary/Company:
Sparks Group has partnered with a leading medical services organization to recruit a highly skilled Senior Coding Analyst. This remote opportunity is ideal for professionals with strong inpatient and pediatric coding experience, looking to contribute to a dynamic and mission-driven team. Interviews will be conducted via Microsoft Teams, and candidates will be asked to complete a coding test following the initial interview.
This is a fully remote position; however, candidates must be located in AL, FL, GA, MO, NC, OK, TN, TX, or WV.
Responsibilities:
- Demonstrate excellent organizational and problem-solving skills.
- Communicate professionally with physicians, third-party payers, and internal teams regarding coding principles and processes.
- Accurately and completely code medical records to support reimbursement for services rendered.
- Apply superior judgment and experience to accomplish goals.
- Understand medical record processes and their impact on third-party reimbursement.
- Maintain confidentiality of medical records at all times.
- Assign and sequence ICD-10-CM/CPT/HCPCS/ICD-10-PCS codes for diagnoses and procedures.
- Abstract necessary information from health records to identify complications and co-morbid conditions.
- Meet departmental accuracy and productivity standards.
- Ensure all documented services are captured and coded according to applicable guidelines.
- Analyze provider documentation for appropriate Evaluation & Management (E&M) level assignment.
- Evaluate records for documentation consistency and compliance with reimbursement criteria.
- Compile and report results of quality review work.
- Support testing of new coding programs and act as a resource for various coding types.
Qualifications/Background Profile:
- High School Diploma or GED required.
- Coding certification required: CCS + RHIA, RHIT, CCS, CCS-P, CPC, CIC, COC, CCA, or CPC-A.
- Required experience in inpatient coding and pediatric coding.
- Preferred experience in professional/technical surgical coding (Colorectal, Neurosurgery, Cardiovascular).
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This job is Fully Remote.
We offer several comprehensive benefits package including health and life insurance, paid and unpaid time off, and retirement and savings plans to qualifying employees.
Download the Sparks Group mobile app from Apple App Store or Google Play.
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Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status.