NEW YORK, NYPosted a month ago

Job summary

• Job post source

  This job is directly from Mount Sinai Health System

• Job overview

  The Clinical Reimbursement Manager role involves validating DRG coding accuracy to ensure compliance and improve documentation quality within Mount Sinai Health System.

• Responsibilities and impact

  The role includes reviewing medical records for ICD-10 coding accuracy, validating DRG assignments, initiating physician queries for documentation clarification, reconciling coding discrepancies, providing coder feedback, resolving billing edits, and collaborating with clinical documentation teams to maintain coding excellence.

• Compensation and benefits

  The salary range is $79,720 to $123,188 annually, excluding bonuses or other compensation; benefits include compliance with salary transparency laws and likely standard health and retirement benefits typical of a large health system.

• Experience and skills

  Requires 3 to 5 years of acute care hospital coding experience, strong knowledge of anatomy, physiology, pharmacology, ICD-10-CM/PCS coding, MS-DRGs, APR-DRGs, and familiarity with electronic health records and data systems; validation and auditing experience preferred.

• Career development

  The position offers opportunities to contribute to coding education, training, and policy development, supporting professional growth within a large academic health system.

• Work environment and culture

  Mount Sinai promotes a culture of inclusion, respect, collaboration, continuous learning, and employee empowerment, emphasizing fairness and a supportive work environment.

• Company information

  Mount Sinai Health System is a leading academic medical system in New York with extensive hospitals, outpatient practices, research, and education, recognized nationally for excellence in multiple specialties and innovative healthcare solutions.

• Team overview

  The role works closely with DRG Validation management, Clinical Documentation Improvement, coders, and departmental staff to ensure coding accuracy and compliance.

• Job location and travel

  The position is based within the Mount Sinai Health System in New York City, with no specific remote or travel requirements mentioned.

• Unique job features

  The job features involvement in cutting-edge coding validation processes, collaboration with multiple departments, and contribution to institutional coding policies within a top-ranked health system.

Company overview

Mount Sinai Health System is a comprehensive healthcare network in New York City, encompassing eight hospitals, a leading medical school, and an extensive network of ambulatory practices. They generate revenue through patient services, medical education, and research grants. Founded in 1852, Mount Sinai has a rich history of medical innovation and community service, making it a cornerstone of healthcare in the region.

How to land this job

• Position your resume to highlight your expertise in ICD-10-CM and ICD-10-PCS coding, emphasizing your experience in DRG validation and quality medical record reviews to ensure coding accuracy and compliance.

• Focus on showcasing your knowledge of MS-DRGs, APR-DRGs reimbursement methodologies, and your ability to collaborate with physicians and coding teams to improve documentation and resolve discrepancies.

• Apply through multiple platforms including Mount Sinai Health System's official career site and LinkedIn to maximize your application visibility and chances of being noticed.

• Connect with professionals in the DRG Validation or Clinical Documentation Improvement divisions at Mount Sinai on LinkedIn; use ice breakers like commenting on recent Mount Sinai innovations in coding accuracy or asking about team culture and challenges in DRG validation.

• Optimize your resume for ATS by incorporating keywords from the job description such as 'DRG validation,' 'ICD-10-CM/PCS coding,' 'clinical documentation improvement,' 'MS-DRGs,' and 'coding compliance' to ensure it passes initial automated screenings.

• Leverage Jennie Johnson's Power Apply feature to automate tailored resume submissions, identify multiple application channels, and discover relevant LinkedIn contacts to network with, allowing you to focus your time on interview preparation and skill enhancement.