[Fredslist] Experienced coder/billers needed for 5 NYC hospitals

[Ester Horowitz]

Experienced coders needed for 5 NYC Hospitals

 

Job description

Coding and Documentation Reimbursement Specialist 

 

Experience:  Minimum 3-5 years recent clinical experience required.  2-3
years experience Case Management/Health Care Performance Improvement
required.  Knowledge of acute care regulatory and accreditation requirements
is mandatory in addition to utilization management and discharge planning
functionalities.  Performance Improvement and physician incentive
methodologies are necessary. Experience in disease management companies,
insurers, Pay for Performance and government reimbursement is strongly
desired.

 

Special Requirements:  Experience in DRG, CRG and APG, knowledge of ICD-9
coding, medical terminology, chart analysis and background in computerized
health information systems.

 

Works with hospital administration and Patient Account Staff in identifying
areas of profit and loss based on case mix, length of stay and variance
analysis. Successful candidate will interface with Finance Department on
reimbursement issues, case mix analysis, policy changes affecting ICD-9 and
CPT-4 codes or other reimbursement methodologies.

 

Tracks and analyzes data generated through internal and external  sources
such as patient care evaluation studies, length of stay, variance analysis,
performance improvement studies, financial reports, departmental reviews and
committee minutes for the purpose of clearly identifying institutional
problems and sources of same.

 

Collaborates with Information Systems Department in developing reports that
result in the monitoring and evaluation of resource consumption and
collected data.  Design and implement management reports that are based on
data collected and analyzed.

 

Maintains and updates knowledge of DRG, CRG, APG policies and their impact
on reimbursement.

 

Develop program of physician compensation to foster physician cooperation by
raising the physician awareness of how clinical documentation impacts their
practice and revenue.

 

Obtain appropriate clinical documentation through extensive interaction with
physicians, nursing staff; ancillary staff, other patient care givers and
Health Information Management coding staff to ensure the clinical
documentation reflects the level of service rendered to patients and is
complete and accurate.

 

Educate all members of the patient care team on improving clinical
documentation and coding on an ongoing basis.

 

Improve coding accuracy to utilize the improvements in clinical
documentation for the correct coding of the severity of illness of the
patient.

 

Conduct concurrent and retrospective review of inpatient medical records to
evaluate the clinical documentation and coding of acute care services.

 

PT/FT

 Contact me directly.

 

Please take note that my email address is changing to
<mailto:witsowitz at verizon.net> witsowitz at verizon.net 

 

Warmest Regards

Ester Horowitz

Certified Management Counselor

Certified Identity Theft Risk Mgmt Specialist 

 

Temporary website

 <http://mysite.verizon.net/m2powerinc> http://mysite.verizon.net/m2powerinc

516 409-0849

888 609-6828

 

"Some men see things as they are and say why?

I see things that never were and say why not?"

-George Bernard Shaw-

 

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Identity Theft Protection & Compliance Solutions

 

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