Careers

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking an Inpatient DRG Validation & Coding Analyst. This position has the ability to work remote.

*****Please submit a resume when you apply.*****

RESPONSIBILITIES:

• Utilizing BESLER’s revenue integrity platform, review claims at all levels of complexity for inpatient claims.
• Ability to read, decipher and analyze all aspects of medical record documentation for accurate coding.
• Responsible for reviewing inpatient coding (ICD-10-CM and ICD-10-PCS codes) to ensure accuracy and completeness of records coded by the coding staff for multiple clients.
• Validate the ICD-10-CM and PCS codes, principal and secondary diagnoses.
• Assignment appropriateness to ensure consistency and efficiency and to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.
• Review physician documentation for specificity, completeness, and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation.
• Maintains current knowledge of regulatory agencies standards, i.e., CMS, OIG, AHA, Coding Clinics, etc.
• Maintain required coding credential(s).
• Seeks opportunities for individual growth and development, including attending various meetings, conferences, and courses, as required.
• Responsible for meeting departmental productivity and quality expectations.
• Consult with client organizations and their department heads at the direction of the service line director.
• Collaborate with other service line team members to meet client demands and to develop strategies for service line growth and operational improvement.
• Communicate consistently with all project team members and general BESLER colleagues regarding the status and results of service line business operations.
• Contribute to developing coding education and training and institutional coding policies to achieve coding excellence and to enhance internal, proprietary software used as an analytical tool.
• Carry out all other ad hoc requests as determined by business needs.
• Travel to client sites may be required.
• This position performs other duties as assigned.

EDUCATION and EXPERIENCE:

Demonstrated abilities and experience in the following areas:

• A minimum, 5+ years’ experience with Coding IP Claims.
• Experience with Medicare and Medicaid DRGs.
• Experience with DRG validation.
• Experience with OP coding a plus.
• Strong coding knowledge and follow the official coding rules, guidelines, and conventions to validate coded data and ensure high quality and compliance with regulatory requirements.
• Demonstrates competency in the use of computer applications in the EHR (i.e., Cerner, EPIC, Meditech, etc.) and knowledge in DRG grouping software.
• Computer proficiency as related to MS Office and in-house proprietary software.
• Demonstrates knowledge in hospital/healthcare settings such as revenue cycle, coding, and reimbursement.
• Knowledge of ICD-10-CM/PCS required.
• ICD-10-CM/PCS AHIMA Approved Trainer experience highly desired.
• Excellent oral and written communication skills, including the ability to interact with high-level of management.
• Detailed-oriented and able to meet targeted deadlines.
• Bachelor of Science degree in a related field, Associates in Health Information Technology minimally acceptable
• RHIA or RHIT a plus, CCS credential required.

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

• Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
• Paid Time Off
• 401(k) Retirement Plan
• Company Paid Life Insurance
• Medical and Dependent Care FSA
• Tuition Reimbursement
• Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

Interested applicants should submit their credentials to employment@besler.com for consideration.