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MB-3416 - USA (New Jersey) - Medical Coding Services - Deadline October 15,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3416

Government authority located in New Jersey; USA based organization looking for expert vendor for medical coding services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical coding services
- Each new coder will be remotely trained on UH systems including Nuance’s Clintegrity 360 encoder (formerly known as Quantim), Sovera (document imaging software), and Epic (electronic health record).
- Each contract coder will be assigned work using a shared Excel spreadsheet housed on a secure
shared drive which he/she will be given access to on or about his/her start date. The coder will
be assigned a color with which his/her charts will be highlighted to indicate that those charts
are assigned to him/her.
- Each coder must apply ICD-10-CM diagnosis and ICD-10-PCS procedure codes to every inpatient account assigned for coding. The hospital captures up to 50 diagnoses (with appropriate Present on Admission –POA indicators) and 50 procedures as appropriate to each record. The coder is required to abstract the following elements: birth weight (in grams) for new burns, date of procedure and surgeon name for all procedure codes.
- Each contract coder must use the hospital’s encoder software program, Nuance’s Clintegrity 360 encoders (formerly known as Quantim).
- The hospital requires an operative report for all operative procedures. Each contract coder must flag accounts that have missing operative reports. However, it is expected that the coder completes all coding as much as possible on an account before placing it on hold due to missing operative report.
- In addition to a flag for missing operative reports, the coder will be responsible for flagging accounts in the encoder, as appropriate, with the indicator codes provided by the facility.
- Each contract coder must follow all established UH inpatient coding guidelines. The hospital will provide each coder with a copy of its coding guidelines and expects each coder to consistently apply and conform to these guidelines. Coding Clinic and other resources and references are available online to the coder in the Clintegrity 360 encoder.
- Each contract coder must conform to the hospital’s established coding quality standards for inpatient coding and must maintain at least 95% coding accuracy.
- Coding errors include: incorrect principal diagnosis or principal procedure omitted procedure code, omitted diagnosis code, incorrect code choice, sequencing error, incorrect present on admission (POA) indicator, incorrect disposition, incorrect admit or discharge date, incorrect attending of record or of procedure.
(2) All question must be submitted no later than September 12, 2019.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 15 October, 2019

Question Answer Deadline : Thursday, 12 September, 2019

Category : Medical Billing and Coding

Country : USA

State : New Jersey

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