Job Family

Business Operations

Travel Required

None

Clearance Required

None

What You Will Do

Conducts daily, concurrent review of inpatient records on assigned unit(s), to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding.
Reviews daily admissions to assigned unit, performs initial code assignment for a working DRG and completes CDI software data entry for initial and follow up case reviews (or worksheet to include code and DRG assignment) and submits to Program Assistant
Updates “working DRG” as documentation supports or physician query answer supports a change in the DRG assignment.
Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team.
Initiates compliant physician queries when documentation is confusing, ambiguous or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process”, October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).

What You Will Need

At least one of the following: RHIA, RHIT, CCS, MD or MD Equivalent, RN.
Requires at least 3 years medical records review or acute care hospital coding experience
RN's- 5 years inpatient clinical, case management and management experience and agility to perform code assignment/corresponding DRG assignment in facility encoder

What Would Be Nice To Have

Familiarity with Encoder preferred and DRG assignment.
Medical Coders- previous inpatient medical record review experience
Strong clinical understanding of disease process.
Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system.
Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes.
Excellent communication skills, employing tact and effectiveness.
Ability to converse with physicians in sometimes difficult scenarios.

The annual salary range for this position is $71,300.00-$106,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits Include

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Guidehouse

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