Centene

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

A leading healthcare organization in Myrtle Point, Oregon, is seeking a qualified healthcare professional to analyze healthcare information and ensure compliance with medical coding. Candidates should hold an RN Degree and a valid CPC Certification, with experience in a clinical setting. This position offers a salary up to $123,700 per year and a comprehensive benefits package, including flexible work options. #J-18808-Ljbffr

Overview Employer Industry: Healthcare Services Why consider this job opportunity Salary up to $123,700.00 per year Comprehensive benefits package including health insurance, 401K, and stock purchase plans Tuition reimbursement and paid time off plus holidays Flexible work approach with options for remote, hybrid, field, or office schedules Opportunity to make a significant impact on the health of communities and enhance coding practices What to Expect (Job Responsibilities) Analyze moderately complex healthcare information and review medical records Ensure compliance with medical coding rules and regulations for claims processing Provide regular reports on project status and identify coding improvement opportunities Collaborate with other business units to implement process efficiency and quality improvement practices Work with IT resources to enhance claims processing operations What is Required (Qualifications) RN Degree with one year of preferred experience in hospital...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...