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Facilitates modifications to clinical documentation to ensure that information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC) and risk adjustment factors (RAF.
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Assist the campus president and academic dean with review of campus catalog, policies, and curriculum as required. Identify, advocate, or develop resources services needed by students including clinical sites, classroom equipment, online programming, and other industry trends for student engagement.
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Engage in formal and informal education to wound care center-based staff, including patient navigators, case manager, clinical nurse managers, and providers as to documentation and data necessary for review of DME / supply orders based on the coverage requirements of specific payors.
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The Medical Records Analyst & Educator is also responsible for reconciliation of “missing documentation” reports for claims under review and education of clinical staff and patient navigators with respect to why said information necessary for the review of a particular claim.
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As a mental health disability examiner, you gather and synthesize clinical evidence through medical and military record review, interviews with Veterans, and face-to-face examinations. As a mental health disability examiner, you gather and synthesize clinical evidence through medical and military record review, interviews with Veterans, and face-to-face examinations.
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Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.
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Is responsible for integration and alignment of the medical staff, ambulatory care practices, quality and safety, peer review, credentialing, ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) activities and utilization and resource management.
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From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTaccredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.
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Participates in regular one-on-one conversations with Regional Practice Manager (RPM) to review: previous and upcoming week’s activities with a strong focus on revenue generating activities, progress towards sales goals, individual customer needs, ongoing strategies to drive business and volume growth, key appointments in which RPM’s involvement may be required, etc.
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Review medical records for accuracy in MS-DRG, PDx, SDx and HCC capture. CSI Companies is actively seeking a Senior Clinical Coding Consultant, Registered Nurse to join our growing Medical Coding and CDI Practice.
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You will represent TeamHealth on appropriate external levels identifying, engaging and establishing/maintaining relationships within the post-acute care community, collaborate with clinicians, hospital leaders and others regarding care and services for enrollees, and collaborate with leadership to review care coordination initiatives, develop collaborative intervention plans, and share ideas about network management issues.
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Analyze, review, and report testing results involving molecular analysis techniques including DNA/RNA extraction, PCR, RT-PCR, and capillary electrophoresis. Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions.
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The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding.
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Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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Partner with clinical leadership to create, maintain, and update EMR decision tree scheduling guidelines and reliable methods to ensure scheduling accuracy and promote standard work. Review team metrics daily, report metrics to administration, and provide feedback/immediate countermeasures on any missed KPIs.
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