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View salary and benefits informationDetermines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. May require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. Gains more...
Responsible for requesting payment and collecting overdue balances from patients. Contacts patients by phone or mail to request payment and to review their account details. Responds to patient questions and sets up alternative pay plans if necessary. Maintains patient account records and resolves third party payer issues. Typically requires a high school diploma. Typically reports to a supervisor or manager. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience, or may need 0 years of expe more...
The Healthcare EHR System Training Specialist determines training objectives and creates lesson plans and other materials needed for training. Conducts technical training programs for end users of EHR (electronic health record) software applications. Being a Healthcare EHR System Training Specialist designs and delivers new hire training and ongoing user training during system changes and upgrades. Configures the training environment to ensure end-users can practice using EHR software both inside and outside of the classroom. In addition, Healthcare EHR System Training Specialist may be respon more...
The Nurse - Enterostomal Specialist manages patients with post-operative surgical wounds requiring packing or negative pressure wound therapy (NPWT), pressure ulcers and vascular ulcers. Aids hospital staff and physicians in the care of patients with stomas, draining wounds, fistulae, incontinence, or potential or actual tissue trauma. Being a Nurse - Enterostomal Specialist typically requires a bachelor's degree in Nursing. Provides support and education to patients and their families, including pre and post-operative teaching, wound care, ostomy care, and ostomy appliance maintenance/trouble more...
Plans, coordinates, and implements the quality management and quality improvement programs for a healthcare facility. Monitors and provides assistance with quality assurance and compliance functions. Provides consultation and direction to ensure programs and services are implemented at the highest standards and patients receive the highest level of care. Ensures policies and procedures are monitored and updated to include regulatory changes. Requires an associate degree, and is certified as a registered nurse. Typically reports to a manager or head of a unit/department. Typically requires 4 to more...
The Healthcare Quality and Compliance Director directs quality assurance and compliance functions. Responsible for overseeing the quality management and quality improvement programs for a healthcare facility. Being a Healthcare Quality and Compliance Director requires a bachelor's degree, and is certified as a registered nurse. Ensures that policies and initiatives are efficient, meet patient expectations and are updated to reflect regulatory changes. In addition, Healthcare Quality and Compliance Director typically reports to top management. The Healthcare Quality and Compliance Director mana more...
The Healthcare Quality and Compliance Manager oversees quality assurance and compliance functions. Manages and implements the quality management and quality improvement programs for a healthcare facility. Being a Healthcare Quality and Compliance Manager is responsible for monitoring and updating policies and procedures to include regulatory changes. Ensures programs and services are implemented at the highest standards and patients receive the highest level of care. In addition, Healthcare Quality and Compliance Manager requires a bachelor's degree, and is certified as a registered nurse. Typ more...
Recruits qualified applicants for licensed practical nurses, graduate nurse positions, or positions requiring registered nurse licensure. Places advertisements, attends job fairs, and heads in-house recruitment efforts. Interviews candidates and refers them to the appropriate clinical service. May require a bachelor's degree. Typically reports to a manager. May require RN license. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. more...
Provides data analysis and builds risk models to support risk programs and activities. Prepares reports needed to comply with clinical, environmental, and privacy compliance regulations. Identifies loss trends by analyzing incident reports, claim and insurance data. Utilizes advanced data analysis tools and techniques. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. more...
Provides data analysis and builds risk models to support risk programs and activities. Prepares reports needed to comply with clinical, environmental, and privacy compliance regulations. Identifies loss trends by analyzing incident reports, claim and insurance data. Utilizes advanced data analysis tools and techniques. Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. more...
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