Candidates will be responsible for the following: Reviewing medical records and assigning accurate codes. Maintaining 95% coding accuracy rate. Assigning the appropriate discharge disposition. Required Skills: Ability to travel when necessary; attend education meetings/in-services.
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding. Must possess knowledge of third party reimbursement regulations and billing practices. Possess moderate knowledge of level 1 and 2 modifiers.
Individual must be able to fulfill the following responsibilities: Review medical records and to identify medical issues. Enhance the current services offered to their clients. Be available to claims adjusters for advice and referral. Position Requirements Include: Must have an RN License.
Completing initial medical records reviews of patient records within 24-48 hours of admission. Required Skills: Travel may be required to meet the needs of the facilities. Active state Registered Nurse license. Graduate from a Nursing program, BSN, or graduate.
Solid understanding of relational databases, medical and pharmaceutical claim data, as well as SAS/SQL coding. 4-6 Years Information Management/Data acquisition, data management, programming and documentation. 1-3 Years Information Management/Database Structures.
May require occasional travel. Working understanding of medical and clinical research terminology. Strong written and verbal communication skills including good command of English language. Ability to establish and maintain effective working relationships with coworkers, managers and clients.
Has a current, unrestricted license issued by a state or territory of the United States. Strong computer and keyboarding skills. Required to hold a Florida clinical license or attain such within 6 months. Ability to comprehend medical policy and criteria to clearly articulate health information.
3+ years of Cerner PathNet Gen Lab Experiences. Worked with Cerner PathNet applications (ie Micro, Blood Bank, Anatomic Pathology) Clinical background as a Medical Technologist working in General Lab. Must have experience through the full implementation.
Minimum 2 years recent experience in medical-oriented scheduling environment. Bilingual in any of the following languages: Spanish. Adept at handling large call volumes, preferably with use of VOIP call systems. Experience with basic insurance guidelines.
One or two years experience in a medical environment dealing with managed care or insurance issues. Must be self-motivated, detail oriented and able to prioritize workload. Successfully receive interim approval for government security clearance.