Inpatient Coding Auditor, Nurse, CIC or CCS Certified

November 5, 2024

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ProgenyHealth, LLC

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ProgenyHealth, LLC is a company focused on transforming healthcare for women, infants, and families through its integrated Maternity and NICU Care Management solutions. With over 20 years of experience, ProgenyHealth provides a comprehensive care management solution to address the maternity and NICU challenges faced by modern health plans. By identifying risks early, the company aims to prevent preterm births, NICU stays, and complications during pregnancy and after delivery. ProgenyHealth operates as a trusted partner for health plans, overseeing a full maternal and infant care continuum, creating lasting relationships, and optimizing maternal and infant healthcare economics. The company also helps solve non-clinical social drivers impacting maternal and infant health, ensuring equitable, standardized, and predictable family care.

neonatal care • utilization review • case management • managed care • low birth weight

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧘 Wellness

📋 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