Care Management- Ortho Care Coordinator -RN
American Consultants
- New York City, NY
- Permanent
- Full-time
- This associate is a Registered Nurse with current NYS Registration.
- S/he has, at minimum, a Bachelor of Science in Nursing or a Bachelor’s degree in a related field.
- S/he also has a minimum of 5 years recent [defined as within the past 8 years] acute care clinical experience [excluding Psychiatric, Acute Rehab, Obstetrics or Newborn].
- In addition s/he will have a minimum of 2 years critical care experience preferred.
- This RN conducts Documentation Improvement activities by reviewing medical records on a concurrent basis to assess the extent to which clinical documentation accurately reflects the severity of patient illness and the scope and intensity of related.services/procedures.
- S/he is required to demonstrate excellent clinical knowledge of disease processes, including, but not limited to, symptomatology, diagnostics and treatment.
- S/he is required to demonstrate knowledge of the difference in symptomsvs clinical diagnosis.
- S/he is required to demonstrate knowledge of federal, state and commercial/third party regulations related to coding and reimbursement.
- S/he works collaboratively with physicians and HIM associates to ensure compliance with coding
- This associate also demonstrates excellent