and Duties The Clinical Records Specialist responsibilities and duties include but are not limited to QCs trial records according to Good Documentation Practices (GDP), applicable US and international regulations/guidelines including ALCOA and ALCOA+ principles and company WI and procedures. Maintains and manages Ardelyx's electronic and paper Trial Master Files (TMF) in a

Coordinate and Execute Tender Processes Manage the end to end tender process efficiently, including thorough review of tender documents, timely submission of all required materials, and direct interaction with customers. Collaborate closely with sales and marketing teams to ensure alignment and maximize success. Daily Tender Review and Sales Team Alert Conduct daily revie

Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collabor

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when c

To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Utilize health care applications, data systems, data warehouses and data integration to pull and analyze data. Review and perform QA validation of data outputs and provide feedback to stakeholders, including root cause analysis, if any; document test ca

Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on point results. Ensure training material updates (may develop or coo

Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals a

To View A Day In The Life Of A Hospital Service Technician Click Here Hospital Services Technicians travel between customer healthcare facilities providing on site proactive collection and exchange of waste containers for various Stericycle programs, including but not limited to Sharps Management Service, Pharmaceutical Waste, Controlled Substances, and Document Managemen

Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collabor

Referral Coordinator The Referral Coordinator is responsible for all administrative processing in regard to patient's personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co workers, possesses strong time management skills and the ability to complete assigned job duties with applicab

In this position of IRB Manager (RCM1), under the direction of the Sr. IRB Manager and the IRB Chair, you will conduct in depth protocol review using advanced regulatory knowledge and experience. The primary responsibility will be to manage the protocol review process and identify issues, and to independently determine whether the components of the proposed research are i

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community One built on compassion, innovation, collaboration and delivering high quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting

Every day, Baxter touches the lives of millions of patients and providers worldwide who rely on our essential hospital and renal products and services. You’ll find Baxter’s products and therapies on nearly every floor, in almost every hospital worldwide, in clinics and in the home. Baxter’s employees are building upon the company’s rich heritage of

Health Information Specialist I (Onsite Redwood City, CA. 94063) Job Locations US CA Redwood City Requisition ID 2024 35120 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $19.00 $21.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to

ly and accurately conduct coding reviews on medical records for assigned client audit contract in accordance with the statement of work while meeting compliance, productivity, and quality expectations. Conduct review of flagged claims and Fraud Waste & Abuse (FWA) referrals involving suspected upcoding, unbundling, anomalous coding, intentional miscoding, etc. Timely revie