Medical Review Specialist (Coder)

What you'll be doing: Objectively and accurately, conduct coding review on medical records for assigned client audit contract while meeting compliance, productivity, and quality expectations. Appropriately refer review for clinical validation. Enter and update all contracts or review findings a supporting documentation into the audit processing system. Monitor CMS and major payer coding and reimbursement policies. Maintain a current knowledge of all Medicare and commercial regulations, policies and procedures. Develop and maintain professional working relationships within the department and cross-functionally. Assist in developing material for training and facilitate or assist in MS-DRG audit training sessions. Attend conference calls and meetings as requested. Perform other duties as assigned.

What your background should be: Minimum 3+ years of DRG coding for hospital, physician office or other acute facility setting (inpatient/SNF facility). 2+ years of direct experience in medical chart review for all provider/claim types for inpatient/outpatient. 2+ years of experience coding/auditing facility outpatient services. Prior auditing experience desirable in either a provider or a payer environment. Previous payer experience in a claim processing, edit development, or coding and reimbursement policy a plus.

Who is the client company: Concern about financial services.; If you are interested in this position, send your resume to apply@kochdavis.com