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Job SummaryThis expert level senior inpatient coder is responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation.
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Configure other modules within the EDC ecosystem such as coding, integration of IRT, safety system, local labs etc., Experience integrating other clinical trial modules (e.g.: lab, safety, IRT, coding etc.,) with the EDC system.
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Join us as a Senior Electronic Data Capture (EDC) Engineer. Hands-on experience with at least one EDC system (e.g.: Medidata Rave, Inform, Veeva etc.,) Confirm archival and inspection readiness of all Clinical Technology Trial Master File (TMF) documents.
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Lead the design activities including documentation of requirements, topology and component selection, schematic capture, PCB layout, prototype builds, firmware coding, and test plan development and execution.
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You will be accountable for reviewing patient medical records in the clinic setting to capture an accurate representation of the severity of illness, risk adjustment and facilitate proper coding.
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Proficiency with drug safety databases (i.e., Argus), electronic data capture (EDC) systems, Medical Dictionary for Regulatory Activities (MedDRA) and World Health Organization (WHO) Drug dictionary coding.
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The MDS Coordinator / Nurse Assessment Coordinator contributes to personalized resident care plans and ensures the capture of clinical reimbursement for services provided. Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding conventions.
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Senior Electronic Data Capture Engineer. Understanding of industry standard technologies to support Clinical Development needs (e.g., CTMS, SAS, R or Python, Data Warehouses, SharePoint) Prepare, test and implement post production changes as per study needs while ensuring data integrity.
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Maintains ongoing expertise in facility and professional charge capture, SCC Systems & EPIC systems charging structure, coding and regulatory nomenclature, and applicable industry trends.
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Supports other key objectives to drive capture of accurate risk adjustment coding including documentation improvement, provider education, report analysis, and/or identification of process improvements.
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Five years of experience in clinical setting analyzing data and performing reviews such as utilization management , quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers required.
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Leads efforts to identify new charge capture opportunities, while working closely with Revenue, Coding and the Charge Master team. Stays abreast of routine developments in coding and billing regulations and legislation.
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The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
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Responsible for direct supervision, work direction and performance management of charge capture compliance team and imaging informatics teams. The Supervisor of Medical Imaging Informatics and Coding Compliance is responsible for ensuring clinical exam builds support correct clinical use and promote correct billing compliance.
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Work all assigned billing edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA). PREFERRED QUALIFICATIONSRegistered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred.
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