Remote only. There might be a time when they have to be onsite (Must live in SCAL), but this is a completely remote role. 

Contract position - may convert depending on need/budget
** Must have a passing score on the coding test. Minimum score 80% ** 


Educational Requirement: High school diploma or equivalent.

Qualifications:
Minimum of 4+ years of Acute Care: Inpatient, Outpatient, MS-DRG, HCC and APC coding required.
Coding Review Manager also requires 4+ years supervisory experience in a Medical Records department, or other senior role in auditing or coding.
In-depth understanding of all state/federal regulations and CMRI, NCQA, JCAHO, and CMS.
Demonstrated strong interpersonal communication skills.
Working knowledge of State/Federal, CMRI, NCQA, JCAHO, and CMS Regulations.

Preferred Qualifications:
Certified coding Specialist (CCS).
May also possess Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or RHIA/RHIT credentials (for Coding Review Manager).
Electronic Health Record experience preferred.
The candidate must have one of those certifications, CCS holding the most weight.

Must possess a proficient understanding of the Inpatient and Outpatient Prospective Payment Systems (IPPS/OPPS),
Medical Severity Diagnosis-Related Groups (MS-DRG),
National Correct Coding Initiative Edits (NCCI), ICD-10-CM Official Guidelines for Coding and Reporting, and Coding Clinic.
Must be able to work in a Labor-Management Partnership environment.

Top 3 - 5 Daily responsibilities
**This contractor will not train**
Eventually they will audit the Dual Coding
110 Charts a month. Mixed IP and OP.

Duties:
Coordinates monitors and audits all lines of hospital business for coding, to include: all outpatient, inpatient, HOV, ED and Ambulatory surgery cases.
Monitors the accuracy and quality of coding assignments, Present on Admission (POA) indicators and conducts internal coding audits.
Responsible for being the regional coding contact person for the HIM department to work with Clinical Documentation Specialists to support education and coding requirements.
Develops reports of audit results to Regional and facility staff and Senior Management.
Helps set the direction for coding and compliance education and focused projects related to the ClientsHC (Clients Health Connect-EHR).
Run audit selection lists and reports as well as providing education, feedback and guidance based upon data mining activities and processes.
May provide (limited) oversight of the accuracy of MIRCal data for OSHPD reporting.
Collaborates with the Coding Supervisors and Campus Coding Managers to provide input related to coding accuracy; (most particularly related to ICD-10 Coding) and coding functions within the department to assure timely and accurate completion of work that is consistent with regulatory agency requirements. 

Additional Duties: 
Provide oversight and training for “Coding Compliance Software” to the coding staff. 
May provide insight into planning, directing and monitoring of Charge Capture Initiatives for Facility and Professional Charges as well as in-patient medical records(for Coding Review Manager) including: CMS, Fiscal Intermediary, Commercial and Self-Funded billing guidelines retrieval, assembly, delivery, abstracting/analyzing, coding, completion, transcriptions, release of information, and vital statistics registration.

Prepares statistical and or annual coding accuracy reports as requested by state or federal agencies or any other regulatory agency under the direction of their Manager.
Ensures compliance with federal, state and local regulations. 

May assist in regional and facility budgets as requested and identifies and recommends opportunities to decrease costs and improve service.
Functions as a liaison for other departments regarding coding questions/issues.
Implements changes resulting from internal or external audits which impact collection and reporting of medical records.
Participates in Regional HIM staff meeting and process improvement initiatives.