Sr Certified Medical Coder RN
| Company | Centene |
|---|---|
| Location | New Mexico, USA, Washington, USA, Pennsylvania, USA, North Dakota, USA, Oregon, USA, Delaware, USA, Iowa, USA, California, USA, Washington, DC, USA, Vermont, USA, Wyoming, USA, Texas, USA, Montana, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, Nevada, USA, South Carolina, USA, South Dakota, USA, Georgia, USA, Arizona, USA, Concord, NH, USA, Mississippi, USA, Tennessee, USA, Virginia, USA, Arkansas, USA, Minnesota, USA, Colorado, USA, Nebraska, USA, Rhode Island, USA, Utah, USA, Kentucky, USA, West Virginia, USA, New York, NY, USA, Maryland, USA, Hawaii, USA, Wisconsin, USA, Maine, USA, Massachusetts, USA, North Carolina, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Louisiana, USA, Alaska, USA, Michigan, USA, Illinois, USA, Alabama, USA, Idaho, USA |
| Salary | $68700 – $123700 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- RN Degree
- One year experience preferred in hospital inpatient coding
- Nursing experience in managed care organization or acute care hospital
- Valid/Current CPC Certification, through APPC preferred or CIC through AAPC or CCS through AHIMA; RHIA/RHIT Credentials-Preferred
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 resources to implement system efficiencies and configuration enhancements to improve claims processing operations.
- Apply Coding Guidelines as described in the ICD-10 Coding Manual.
- Performs other duties as assigned.
- Complies with all policies and standards.
Preferred Qualifications
- One year of experience in a clinical setting or acute care hospital; RN, PA, MD, APRN, DO or MBBS license required.