Responsible for concurrent review of clinical documentation for all selected admissions. Responsibilities: Essential Functions... 1. Performs concurrent review of clinical documentation for all selected admissions to ensure documentation supports...
capture for DRG assignment and capture of SOI (Severity of Illness) and ROM (Risk of Mortality). Review, analyze, evaluate... and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding...
: Conducts the initial concurrent review process for all selected admissions. Clarifies documentation in the medical record...Overview: Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation...
nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research... by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients...
Facility: VIRTUAL-GA The Remote Clinical Documentation Specialist (CDS) demonstrates strong clinical knowledge... and understanding of coding/DRG requirements to improve overall quality and completeness of clinical documentation in the patient...
documentation and provides feedback to clinical staff regarding these requirements during the concurrent record review process... records are complete and clinical documentation comprehensively represents the current health status of network patients...
for improvement Assists with preparation and presentation of clinical documentation monitoring/trending reports for review... supervision of the Supervisor, Clinical Documentation Improvement, the Clinical Documentation Improvement Specialist (CDIS...
for better? Job Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the... and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the...
Utilization Management Utilization Review and Care Transitions & Coordination Providing clinical information to payers... as indicated within a timely fashion. Review all new admissions and Observation patients within 24 hours of admission against High...
case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support... activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c...
validation billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will review clinical... for clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct...
Job Description: Overview REGISTERED NURSE CLINICAL DATA COORDINATOR St. Francis Hospital & Heart Center® is New... processes, procedures and guides as appropriate to their role. Performs appropriate targeted concurrent review to improve...
or nurse practitioner with current licensure to practice in the State of Rhode Island with 3 years of relevant clinical...Job Description: Summary: Under general supervision of Manager of Clinical Documentation, The Clinical...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...
validation billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will review clinical... for clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct...
of Clinical Programs. The Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older... as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical...
of Clinical Programs. The Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older... as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical...
View Point Health Job Title: Behavioral Health Clinician (Clinical Team Lead)Job Code: HCP052/Social Worker, Licensed... services. Our recovery approach is with Dialectical Behavior Therapy (DBT), mental health clinical support services, substance...
Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience.... Clinical services include cardiovascular services diagnostic imaging women’s services (digital mammography and bone density...