Fidelis Care - New York
New York, NY, USA
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...