FairCode

Manage and nurture existing client accounts to ensure customer success, retention, and revenue growth. Act as the primary liaison between healthcare clients and internal departments to align services with client business needs.

The nurse will identify and evaluate potentially preventable inpatient readmissions based on CMS definitions and company criteria. Responsibilities include communicating findings to supervisors and clients and preparing detailed written reports.

Review and validate DRG assignments and conduct quality reviews to ensure accurate hospital reimbursement. Analyze clinical documentation and payer responses to write specialized appeal letters to reduce denials.