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Registered Nurse Coder Specialist
A company is looking for a Nurse/Coder Ideation Specialist to develop and enhance clinical and coding products. Key Responsibilities Develop content and innovative strategies for clinical and coding products, focusing on payment integrity Conduct data analysis and research to enhance claim selection methodologies and coding solutions Provide Subject Matter Expert support and monitor program performance, recommending improvements as necessary Required Qualifications 7-10 years of experience in reviewing and auditing ICD 10 CM/PCS, MS-DRG, and related claims Registered Nurse and/or Inpatient Coding Certification required; RN with coding credentials preferred Expertise in Itemized Bill Review and clinical/coding policy development Deep knowledge of inpatient and outpatient billing and coding audits Ability to perform independent research and data analysis to develop new audit strategies
A company is looking for a Nurse/Coder Ideation Specialist to develop and enhance clinical and coding products.
Key Responsibilities
Develop content and innovative strategies for clinical and coding products, focusing on payment integrity
Conduct data analysis and research to enhance claim selection methodologies and coding solutions
Provide Subject Matter Expert support and monitor program performance, recommending improvements as necessary
Required Qualifications
7-10 years of experience in reviewing and auditing ICD 10 CM/PCS, MS-DRG, and related claims
Registered Nurse and/or Inpatient Coding Certification required; RN with coding credentials preferred
Expertise in Itemized Bill Review and clinical/coding policy development
Deep knowledge of inpatient and outpatient billing and coding audits
Ability to perform independent research and data analysis to develop new audit strategies