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The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement is received for the level of services rendered to the patients.
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Coding, HEDIS measure, engagement of patients and managing medical expense. The Nurse Practitioner will be accountable for caring for patients, maintaining accurate and current patient records, and scheduling initial, urgent and follow-up appointments to patients as required.
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Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding for insurance purposes. Clinical d Medical Assistant, Orthopedic, Medical, Assistant, Patient Care, Healthcare, Physician.
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Courses/training to include medical terminology, anatomy & physiology, and coding and classification systems preferred. The Medical Records Director/Coder oversees all Health Information Management functions in accordance with guidelines and regulations.
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The Clinical Documentation Improvement Specialist (CDIS) reviews inpatient medical records while patients are still in-house (concurrent review) for proper documentation resulting in appropriate reimbursement, severity of illness, risk of mortality, quality measures and risk adjustment.
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At least 1 years’ experience in medical coding or healthcare administration is preferred. Abstract relevant information from medical records to assign appropriate codes, ensuring proper sequencing and specificity.
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For Community Health & Research Center, at least 3-5 years previous experience including experience with medical insurance processing, Medicare, Medicaid, CCI edits, Medicare Functional Therapy Reporting and Therapy Cap requirements, local payer coding and billing guidelines as they pertain to physical, occupational, or speech therapy preferred or equivalent combination of education, experience and/or training approved by Human Resources.
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PHYSICAL DEMANDS: Walking from office to nursing unit, medical records, etc., sitting for periods during telephone transactions and record reviews; bending and squatting for filing activities; work related repetitive stress (ergonomics.
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We would like to speak to those who have a College Degree in Health Care Administration, Business or a related field, along with 3+ years of management or supervisory experience, preferably in a nursing home, hospital or healthcare company's medical records division, with working knowledge of health information management, including medical terminology.
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The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi-specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product.
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Responsible for ICD- coding of behavioral health medical records. Conduct quantitative and qualitative analysis of medical records, recording and maintaining accurate data relating to patient admissions, discharges and transfers, and confidential compliant release of information.
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Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
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The Documentation Specialist will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures.
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Bilingual in English and Spanish proficiency+ An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH+ 1 or more years of Medical Assistant experience in 'back-office' direct patient care+ Experience with HEDIS and ICD/CPT coding+ Hands-on professional Phlebotomy experience+ Experience with Electronic Medical Records+ Experience in a fast paced/high volume environment.
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Take vital signs, record patient information, and update medical records accurately. Active certification as a Medical Assistant (CMA) or Registered Medical Assistant (RMA.
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