3 sr coder jobs found in New York

Sr Certified Medical Coder RN Fidelis Care - New York 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. Responsibilities 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 regular reports on project status and progress; report project results to identify coding improvement opportunities. Collaborate with other business units to identify and implement process efficiency and quality improvement practices. Work with IT...

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 regular...

Overview Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model places the customer and patient at the center of everything we do. We continuously simplify and streamline our work to be easier both to work with and to work for. Location: USA–NY–New York. Job Responsibilities Must reside in North America with no sponsorship needs to be considered for this position. Proven record of lead experience in multicenter large studies. Experience in liaison with sponsor counterparts on coding conventions, specifications, and coding decision process. Analytical experience in trend analysis in QC and consistency findings. Lead experience in coding QC process. Experience in coding resource management, pricing, bidding and coding tool development preferred. Assist...