Clinical Coding Author Job at Idaho State Job Bank in Boise

Clinical Coding Author at R1 RCM in Boise, Idaho, United States Job Description As a Clinical Coding Appeals Author , you will help review and interpret medical records to draft appeals of denied and underpaid claims. Every day you will, review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft appeal letters based on clinical judgment and knowledge and making coding change suggestions to our clients based on ICD-9/10 CM & PCS, CPT, HCPCS, NCCI guidance, and Coding Clinic. To thrive in this role, you must able to identify different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters. Responsibilities: + Review and interpret medical records to appeal denied and underpaid claims + Apply clinical judgment and knowledge for DRG downgrades performed as a result of a Clinical Validation Review by an insurer or third-party auditor + Draft appeal letters that are well written, logically structured, and persuasive, utilizing ICD-9/10 CM & PCS, CPT, HCPCS, NCCI guidance, and Coding Clinic + Handle rush and high balance cases in accordance with office policy for prioritization + Ensure that all appeals are completed timely and sent by the specified deadline Required Qualifications: + Active RN or PA license + Active AHIMA or AAPC Coding Certification including CCS, RHIA, RHIT, CCA, CPC-A, CPC-H (COC), CPMA, CIC, CDI or CDIP + 2+ years of experience in medical record reviews/audits + Knowledge of, or experience in working with the verbal and written appeals process + Must have experience with electronic medical record systems + Knowledge of HIPAA laws and requirements required + Must be able to communicate effectively and professionally with strong attention to details and problem solving both verbally and written Desired Qualifications: + Inpatient, outpatient and/or DRG auditing preferred + Ability to operate common computer systems + Intermediate skill level of Microsoft Word, Excel, PowerPoint and Outlook For this US-based position, the base pay range is $67,061.41 - $106,374.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collabora To view full details and how to apply, please login or create a Job Seeker account