HSCRC Coding Reviewer

Overview At Commence, we’re the start of a new age of data‑centric transformation, elevating health outcomes and powering better, more efficient processes in both program and patient health. We combine quality data‑driven solutions, technology that advances performance, and clinical expertise to create a more efficient path to quality care. Job Type Part‑time Responsibilities The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation. Responsibilities include: Perform audit functions for the HSCRC Inpatient/Outpatient Data Abstract Review Contract in a timely and accurate manner. Generate well‑written deliverables and audit work papers. Provide outstanding verbal communication skills and interactions with hospital and client personnel. Requirements 5 years of relevant experience performing complex coding; quality assurance, training, appeals, and/or auditing services involving ICD‑10‑CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the healthcare industry, including but not limited to the State of Maryland. Ability to research, determine, and apply solutions. Ability to communicate effectively with other reviewers and clients to ensure quality of audit findings and acceptance and understanding of findings. Practical knowledge of and ability to comply with Health Insurance Portability and Accountability Act (HIPAA) and other laws and regulations pertaining to confidentiality, privacy of protected health information, personally identifiable information, and other sensitive information. Practical knowledge of and ability to comply with system and information security requirements. Essential Education Bachelor’s degree in a related discipline or specialized licensure, certification, or accreditation. RHIA, RHIT, RN, or MD; CCS, CCS‑P, CPC, CRC. Work Environment and Physical Demands This is an office/remote position. The employee regularly works in a climate‑controlled environment, sitting, reading, working on a computer, and watching a computer screen for extended periods of time. Occasional standing, walking, use of hands and fingers, kneeling or crouching may be required. Equal Employment Opportunity Commence is an equal employment opportunity employer. All personnel processes are merit‑based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at View phone number on click.appcast.io or View email address on click.appcast.io. Salary $40‑$45/hr #J-18808-Ljbffr Commence