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Part Time Remote Inpatient Coding Jobs in Tennessee

Xsolis

Physician Advisor (Part Time)

Franklin, TN · On-site +1

Educate internal and external staff about ICD coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity ...

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Part Time Remote Inpatient Coding information

What are some common challenges faced by part-time remote inpatient coders, and how can they be managed?

Part-time remote inpatient coders often face challenges such as staying up-to-date with frequent changes in coding regulations, managing time effectively to meet productivity standards, and maintaining communication with their healthcare teams. To overcome these challenges, it's important to set a consistent work schedule, participate in ongoing training or webinars, and use collaboration tools to stay connected with supervisors and colleagues. Many employers provide resources and support to help remote coders succeed, including access to reference materials and regular team meetings.

What are the key skills and qualifications needed to thrive as a Part Time Remote Inpatient Coder, and why are they important?

To thrive as a Part Time Remote Inpatient Coder, you need a strong understanding of medical terminology, ICD-10-CM/PCS coding systems, and a relevant credential such as RHIA, RHIT, or CCS. Experience with electronic health record (EHR) systems and coding software is typically required, along with familiarity with HIPAA compliance. Excellent attention to detail, time management, and self-motivation are standout soft skills in this remote role. These skills ensure accurate coding, compliance, and timely reimbursement while maintaining productivity and data integrity from a remote environment.

What is a Part Time Remote Inpatient Coder?

A Part Time Remote Inpatient Coder is a healthcare professional who reviews and assigns standardized codes to inpatient medical records for hospitals or healthcare facilities, working fewer than full-time hours and performing their duties from a remote location. Their primary responsibility is to ensure accurate coding for diagnoses and procedures, which is essential for billing, insurance claims, and maintaining patient records. This role typically requires knowledge of ICD-10-CM/PCS coding systems and familiarity with compliance regulations and hospital documentation standards.

What is the difference between Part Time Remote Inpatient Coding vs Part Time Remote Outpatient Coding?

AspectPart Time Remote Inpatient CodingPart Time Remote Outpatient Coding
CertificationsAHIMA CCS or AAPC CPC-HAHIMA CCS or AAPC CPC-H
Work EnvironmentRemote, hospital or health system settingRemote, outpatient clinics or physician offices
Industry UsageHospitals, inpatient facilitiesOutpatient clinics, physician practices
Common Search/ComparisonPart Time Remote Inpatient Coding vs Part Time Remote Outpatient Coding

Part Time Remote Inpatient Coding involves assigning codes to hospital inpatient records, requiring knowledge of inpatient coding guidelines. In contrast, Part Time Remote Outpatient Coding focuses on outpatient records, often with different coding rules. Both roles typically require similar certifications and are performed remotely, but they serve different healthcare settings and coding processes.

What are the most commonly searched types of Remote Inpatient Coding jobs in Tennessee? The most popular types of Remote Inpatient Coding jobs in Tennessee are:
Part Time Remote Inpatient Coding jobs near you
Physician Advisor (Part Time)

Physician Advisor (Part Time)

Xsolis

Franklin, TN • On-site, Remote

Full-time, Part-time

Posted 12 days ago

Job description

Description
Position Summary Details
Physician Advisors provide concurrent review and appeal support services for XSOLIS's XPAS client base. Physician Advisors should possess professional expertise and the desire to be a part of an organization with proven experience to innovate, execute and deliver. Experience with utilization management and understanding of state and federal regulations, knowledge about the denials and appeals process, and experience with physician documentation and electronic health records is key. Physician Advisors apply practical working knowledge as a Physician Advisor to a solution that will change the way hospitals solve their administrative challenges.
Requirements
Essential Duties & Responsibilities
The essential functions include, but are not limited to the following:
  • Provide clinical reviews in accordance with Managed Care and CMS Regulatory Requirements to:
    • Assist with level of care and length of stay management on a case-by-case basis
    • Assist with the denial management process
    • Determine if professionally recognized standards of quality care are met
    • Participate in the concurrent and retrospective appeal peer-review process"
  • Provide feedback to internal and external partners regarding level of care, length of stay and quality issues, which may also include joining client meetings to review observations and trends in physician behavior and/or documentation. Recommend and request additional, more complete, medical record documentation. Provide guidance to internal and external staff regarding status issues and alternatives to acute level of care when such care is not warranted. Provide education to internal and external staff related to regulatory requirements, appropriate utilization, and alternative levels of care.
  • Ensure appropriate documentation of patient care reviews, decisions, and other pertinent information. Be able to review cases with screening criteria, such as InterQual, MCG or other appropriate platforms. Develop and apply protocols related to evidence-based medicine and criteria.
  • Work with internal and external Care Management staffs to ensure appropriate continuity of care and provide education to assist in reducing readmissions.
  • Educate internal and external staff about ICD coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records.
  • Provide insight into the development of the XSOLIS appeal operations and technology platform. Work with the Data Analytics team and assist in the enhancement of clinical analytics.
  • Maintain current knowledge of federal, state, and payer regulatory and contract requirements.
  • Additional functions as deemed appropriate and warranted.
  • Full-time physician advisors are required to complete peer to peer reviews

Minimum Qualifications (Knowledge, Skills, and Abilities)
Education:
  • Graduate of an accredited medical school
  • Additional education in quality and utilization management through continuing medical education programs and self-study

Experience:
  • 5 years recent experience in clinical practice

Other:
  • Utilization management experience as a member of the UM oversight committee or past physician advisor experience preferred
  • Licensed physician without restrictions
  • Knowledge of federal, state, and payer regulatory and contract requirements
  • Verbal and written communication skills
  • Basic computer skills, including typing, navigating browsers, etc.
  • MS Office Suite
  • Professional demeanor and interpersonal skills

Supervisory Responsibilities
This role does not have any direct reports and is a single contributor role.
Working Environment and Travel Requirements
  • Work is typically in a normal office administrative environment involving minimal exposure to physical risks.
  • Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required.
  • This role requires travel to our home offices in TN for training.

Physical Demands & Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.
Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.
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