ProgenyHealth, LLC
neonatal care • utilization review • case management • managed care • low birth weight
Inpatient Coding Auditor, Nurse, CIC or CCS Certified
November 5
ProgenyHealth, LLC
neonatal care • utilization review • case management • managed care • low birth weight
Description
• ProgenyHealth provides care management solutions for premature and medically complex newborns • Perform clinical reviews of medical records to validate claims coding accuracy and medical necessity • Report to the Payment Assurance Manager and promote continuous improvement philosophy
Requirements
• Registered Nurse required • Inpatient Coding Certification required - CCS or CIC • Experience in nursing, inpatient coding and reimbursement guidelines • 3+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG • Adherence to official coding guidelines, coding clinic determinations, and compliance guidelines • Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes • Excellent communication skills, both oral and written • Strong interpersonal skills that will support collaborative team work • Proficient in Microsoft Office: Word and Excel; Access – highly preferred • Ability to work independently and within a team • Critical listening, thinking, decision making and problem solving
Benefits
• Paid Time Off • Paid Parental Leave • Medical, dental, vision benefits • 401K with company match • Short- and Long-Term Disability • Group Life Insurance • Tuition reimbursement • Professional development opportunities • Business Casual work environment
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