Nurse Inpatient Coding Auditor, (Remote) CIC or CCS certified
ProgenyHealth LLCUnited States
Posted March 19, 2026
Full Time
About the Company
ProgenyHealth LLC delivers integrated care management solutions for premature and medically complex newborns, combining clinical expertise with a mobile app to support families from prenatal care through the first year of life. The company coordinates a network of neonatologists, pediatricians, and NICU nurses to provide continuous, coordinated care and improve maternal and infant health outcomes across the United States.
Job Description
The Clinical RN Chart Reviewer will perform clinical reviews of medical records to validate claims coding accuracy and medical necessity. The role requires certified coding expertise and a strong understanding of DRG validation and regulatory guidelines.
Requirements
- Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.
- Analysis of claims data to optimize reimbursement by ensuring accurate coding.
- Ensures claims analysis complies with ethical coding standards and regulatory requirements.
- Responsible for performing clinical reviews of medical records and other documentation.
- Utilize Clinical Review Tools and EMR Systems.
- Research reimbursement regulations for claim payment compliance.
- Assist with the development of claims audit process documentation.
- Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement.
Benefits
- Paid Time Off
- Paid Parental Leave
- Medical, dental, vision benefits
- 401K with company match
- Short- and Long-Term Disability
- Group Life Insurance
- Tuition reimbursement
- Professional development opportunities
- Business Casual work environment
