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Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred. The MDS Coordinator / Nurse Assessment Coordinator contributes to personalized resident care plans and ensures the capture of clinical reimbursement for services provided.
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As an MDS Coordinator / Nurse Assessment Coordinator, you will complete and assure the accuracy of Minimum Data Set (MDS) assessments for all residents. 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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Participate in admitting prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels. Collaborate with interdisciplinary teams to ensure accurate data collection for assessments.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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At least 2 years of relevant experience such as: SIU, healthcare fraud investigation, medical claim investigation, healthcare program integrity, data mining or analytics, healthcare claims payment processing, clinical experience, compliance, or certification as AHFI, CPC/CCP/CCS/CMC, or CFE.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Revenue Integrity Analyst will work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis.
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Comprehends the impact of accurate clinical documentation in the medical record beyond establishing a working DRG: accurate billing, public reporting, research data, quality metrics, provider scorecards, accuracy of the UHDDS, Case Mix Index (CMI.
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Maintain integrity and accuracy of anesthesia billing data by reviewing and adjusting in the Optime anesthesia information system. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it.
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Primarily, the scope of audits and reviews will be in the areas of coding, billing, medical record documentation, claims, clinical data, and reports as they relate to the revenue cycle. Handles all personal contacts with professionalism, efficiency and integrity while preserving the confidential nature of information.
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Manage Duke internal and multi-site databases, including data cleaning, transformation, importing, and restructuring to uphold data accuracy, integrity, and compliance with institutional policies, with support from the technical team lead and the Program Manager: 15% Training and Documentation (30.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Clinical Research Quality & Regulatory Specialist plays an integral role in the data integrity and regulatory compliance of pharmacy services related clinical research.
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The Healthcare Data Architect is responsible for building and maintaining robust data infrastructure for Health Plan Risk Adjustment, HEDIS, Quality, and Clinical to support strategic analytics and reporting used to drive business decisions.
RemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations.
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The VPDCO will collaborate with the Supply Chain Director and Clinical Resource Management Team to ensure data integrity, accuracy and efficiency of the preference card process, support the Supply Chain team to lead margin improvement activities, which includes inventory management and patient billing review.
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The ideal candidate will have in-depth experience in cell therapy, with specialized expertise in CAR-T therapy, solid tumors, leading a data management function, and expertise using Medidata Rave. This role encompasses the management of external Contract Research Organizations (CROs), acting as a Subject Matter Expert (SME) for all data management activities, and ensuring the highest data quality and integrity across the clinical operations organization.
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This individual will participate in the design, development, documentation, and quality control process for SAS programs used to access, extract, transform, review, analyze, and submit clinical data and analysis results for Abiomed studies.
Full-timeExpandApply NowActive JobUpdated 1 month ago
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