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Job Summary The Clinical Research Nurse, under the guidance and supervision of the Research # Bioethics Manager, assists the Principal Investigator (PI) and Study Coordinator in ensuring the integrity and quality of clinical trials are maintained and conducted in compliance with federal and state regulations, Institutional Review Board (IRB) approvals, and Hendrick Health policies and procedures.
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The Care New England Clinical Documentation Integrity (CDI) Specialist is responsible for concurrently reviewing medical records to facilitate the accurate representation of the severity of illness by improving the quality of the physicians clinical documentation while maintaining compliance with HIPAA (Health Insurance Portability and Accountability Act of 1996) and Code of Conduct Policies.
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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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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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Demonstrates skills of high efficiency and accuracy to identify and reduce DRG downgrades/denial risks by assuring that clinical support is beyond dispute for DRG integrity, coding and billing needs.
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Communicates with and educates physicians, mid-level providers, patient resource managers/case managers, Hospital Information Management (HIM) Compliance Specialists and other health team members to facilitate improvement in comprehensive and inpatient medical record documentation to reflect conditions present on admission, diagnoses, complications/ comorbidities (CCs) and the clinical treatment plan for inpatients.
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Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding conventions. Participate in admitting prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels.
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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.
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Three or more years of experience in a hospital or clinical setting with revenue integrity audit and compliance. This position is responsible for the daily management and direction of the Revenue Integrity function under the oversight of the CFO and VP, Revenue Cycle at SRC.
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The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of physician and nursing documentation in the medical record, accurately reflecting the clinical assessment, diagnosis, and outcomes resulting from the medical care provided.
$34.1 - $54.56 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
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Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
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With integrity, a solid work ethic and empathy for older adults, you can create a long, satisfying and fruitful senior living career at Freedom Village at Brandywine. ABOUT THE ROLE:The RN Clinical Liaison is responsible for the recruitment and assessment of potential residents for the Health Center.
$80Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Clinical Research Nurse, under the guidance and supervision of the Principal Investigator (PI), ensures the integrity and quality of clinical trials are maintained and conducted in accordance with federal, state, and local regulations and Institutional Review Board (IRB) approvals.
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Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of MercyOne North Iowa and Trinity Health.
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