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Inpatient Medical Coding Specialist
A company is looking for a Nurse/Coder Policy Specialist. Key Responsibilities Develop content and innovative strategies for clinical and coding products Analyze data and conduct research to enhance claim selection methodologies Provide Subject Matter Expert (SME) support and client engagement for clinical policies and coding review programs Required Qualifications 10+ years of experience in reviewing and auditing ICD 10 CM/PCS, MS-DRG, and proficient with encoder products Inpatient Medical Coding Certification required (e.g., CCS, CIC, RHIA, RHIT) or other coding certification with inpatient coding experience Ability to research State and Federal regulations and clinical policies Expertise in Itemized Bill Review product development and enhancements Deep experience in inpatient and outpatient billing and coding audits
A company is looking for a Nurse/Coder Policy Specialist.
Key Responsibilities
Develop content and innovative strategies for clinical and coding products
Analyze data and conduct research to enhance claim selection methodologies
Provide Subject Matter Expert (SME) support and client engagement for clinical policies and coding review programs
Required Qualifications
10+ years of experience in reviewing and auditing ICD 10 CM/PCS, MS-DRG, and proficient with encoder products
Inpatient Medical Coding Certification required (e.g., CCS, CIC, RHIA, RHIT) or other coding certification with inpatient coding experience
Ability to research State and Federal regulations and clinical policies
Expertise in Itemized Bill Review product development and enhancements
Deep experience in inpatient and outpatient billing and coding audits