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Feb 06, 2023

Pasadena, CA

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Recruiting / Staffing

|

Contract-to-perm

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$31 - $47 (hourly estimate)

{"JobID":261771,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-118.065636363636,"Longitude":34.1827272727273,"Distance":null},"State":"California","Zip":"91107","ReferenceID":"LAX-601442","PostedDate":"\/Date(1675710837000)\/","Description":"Kaiser Permanente\u0027s internal fulfillment team is looking for a Clinical Recruiter to join the team. This person will be reviewing applications for Kaiser positions from internal Kaiser employees in order to give Kaiser employees the opportunity to be promoted within. This person will be reviewing candidates applying for clinical roles/licensed positions within departments including but not limited to behavioral health, rehabilitation and physical medicine, optometry, respiratory care, and more. This person should have experience recruiting in a healthcare and union environment. In addition to recruiting tasks, this person will also be consulting with Hiring Mangers across their line of business to recommend top-profiles. This role is 100% remote and will allow the candidate the opportunity to support one of the largest healthcare companies as they digitalize their workforce experience.","Title":"Remote Clinical Recruiter","City":"Pasadena","ExpirationDate":null,"PriorityOrder":0,"Requirements":"-2-3 years (minimum) clinical recruiting experience-Experience with full life cycle recruiting-Experience communicating directly with stakeholders (both internal and external clients)-Strong preference for candidates who come from healthcare background and who are comfortable working with a union environment","Skills":"","Industry":"Recruiting / Staffing","Country":"US","Division":"AF\u0026E","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":46.8000,"SalaryLow":31.2000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Kaiser Permanente's internal fulfillment team is looking for a Clinical Recruiter to join the team. This person will be reviewing applications for Kaiser positions from internal Kaiser employees in... More order to give Kaiser employees the opportunity to be promoted within. This person will be reviewing candidates applying for clinical roles/licensed positions within departments including but not limited to behavioral health, rehabilitation and physical medicine, optometry, respiratory care, and more. This person should have experience recruiting in a healthcare and union environment. In addition to recruiting tasks, this person will also be consulting with Hiring Mangers across their line of business to recommend top-profiles. This role is 100% remote and will allow the candidate the opportunity to support one of the largest healthcare companies as they digitalize their workforce experience.Less

Jan 25, 2023

Eden Prairie, MN

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Case/Care Manager (Healthcare)

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Contract

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The Clinical Research Coordinator (CRC) supports both Site and Sponsor on a variety of Clinical Trials involving pharmaceutical and/or biomedical therapies/treatments. Study support includes a 2 week... More remote training period & Patient Recruitment and/or Retention duties. Duties can include any of the following tasks depending on the specific assignment. Tasks: Chart review, phone screening, medical record retrieval, appointment scheduling/follow up, data entry, source document uploading, informed consent procedures and more.Less

Jan 24, 2023

Philadelphia, PA

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Administrative Assistant

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Perm

{"JobID":257629,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-75.1531818181818,"Longitude":39.958,"Distance":null},"State":"Pennsylvania","Zip":"19141","ReferenceID":"HPA-598037","PostedDate":"\/Date(1674551649000)\/","Description":"A large healthcare provider located in Philadelphia, PA is seeking a Clinical Research Coordinator to join their team. On a day to day basis this individual will be supporting the Clinical Research Division with multiple studies in different disease areas (except oncology). The CRC will be supporting the PI (Principal Investigator) with informed consent documents, protocol development, and maintain proper documentation in relation to the study/sponsor requirements. At times, the CRC will be scheduling visits with sponsors and coordinating with monitors on any necessary updates. From time to time, this position may require work in the lab - basic pipetting, packing and shipping of samples. After the 6 month probationary period, this position will offer a flexible remote schedule (2-3 days a week).","Title":"Clinical Research Coordinator","City":"Philadelphia","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Bach Degree in related field 1-2 years of experience in Clinical Research or Clinical TrialsExperience within different disease areas such as: Cardiology, Gastroenterology, Neurology or experience in drug trials or medical device EMR experience (Cerner or Epic)","Skills":"","Industry":"Administrative Assistant","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":60000.0000,"SalaryLow":55000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

A large healthcare provider located in Philadelphia, PA is seeking a Clinical Research Coordinator to join their team. On a day to day basis this individual will be supporting the Clinical Research... More Division with multiple studies in different disease areas (except oncology). The CRC will be supporting the PI (Principal Investigator) with informed consent documents, protocol development, and maintain proper documentation in relation to the study/sponsor requirements. At times, the CRC will be scheduling visits with sponsors and coordinating with monitors on any necessary updates. From time to time, this position may require work in the lab - basic pipetting, packing and shipping of samples. After the 6 month probationary period, this position will offer a flexible remote schedule (2-3 days a week).Less

Feb 02, 2023

Burlingame, CA

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Recruiting / Staffing

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Contract

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$62 - $94 (hourly estimate)

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We're looking to hire an experienced recruiter to help us find top-quality licensed mental health therapists to join our rapidly-growing team. Our Recruitment Team leads the full recruitment process,... More from marketing and outreach to applicant evaluation and hiring, working closely with our Operations and Clinical teams. You will be part of a highly-skilled, collaborative team who is shaping an innovative model of care. The work you do will help to create positive outcomes for our clients and redesign how mental health care is delivered today. *Recruits therapists committed to culturally responsive care and evidence-based behavioral health treatment *Screens resumes, schedules interviews; works efficiently with different teams, serving as primary point of contact for applicants and hiring managers *Maintains thorough records of all applicant interactions, interview outcomes; prepares and shares weekly reports on progress *Uses data to identify recruitment priorities, network gaps and opportunities for network enhancementThis is a temporary contract position. Expecting no more than 20hrs/week for about 6 months.Less

Feb 02, 2023

Austin, TX

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Architect

|

Perm

{"JobID":261205,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-97.7329090909091,"Longitude":30.2829090909091,"Distance":null},"State":"Texas","Zip":"78752","ReferenceID":"HTX-600796","PostedDate":"\/Date(1675358059000)\/","Description":"An employer is looking for a Epic Clinical Solution Architect to join their team within a enterprise non-profit healthcare company. The Solution Architect strategically designs and implements complex technology solutions that meet business requirements that are fully aligned with enterprise domain architecture guidelines. This person will be expected to share new ideas and consistently demonstrate openness to the opinions and views of others. This role identifies new and different patterns, trends and opportunities. They also generate solutions that build upon, adapt, and go beyond transition and status quo. This role will seek to involve other stakeholders in developing solutions to problems.","Title":"Remote Epic Clinical Solution Architect (Application Focused)","City":"Austin","ExpirationDate":null,"PriorityOrder":0,"Requirements":"5+ years of experience with Epic2+ experience with design Build and or architect experience. Experience with 2+ clinical application modulesHave at least 1 Epic certificationMust be someone with strong communication skills, someone who takes initiative and is eager to continuously learn!","Skills":"2 years of Epic Architect experience preferred. Healthcare provider industry experience is preferred.","Industry":"Architect","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":120000.0000,"SalaryLow":115000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

An employer is looking for a Epic Clinical Solution Architect to join their team within a enterprise non-profit healthcare company. The Solution Architect strategically designs and implements complex... More technology solutions that meet business requirements that are fully aligned with enterprise domain architecture guidelines. This person will be expected to share new ideas and consistently demonstrate openness to the opinions and views of others. This role identifies new and different patterns, trends and opportunities. They also generate solutions that build upon, adapt, and go beyond transition and status quo. This role will seek to involve other stakeholders in developing solutions to problems.Less

Jan 17, 2023

Los Angeles, CA

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Project Manager

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Contract-to-perm

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$22 - $34 (hourly estimate)

{"JobID":256372,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-118.424,"Longitude":34.0702727272727,"Distance":null},"State":"California","Zip":"90095","ReferenceID":"LAX-596521","PostedDate":"\/Date(1673986437000)\/","Description":"An employer is looking for a CSI Analyst or Specialist sitting fully remote. This individual will build clinical study calendars and help with budget build. They will review and interpret complex clinical research protocols and related documentation for CRMS study development and activation. This individual will build and configure study calendar specifications and budgets within the CRMS in a timely and professional manner. The incumbent will build all calendars in accordance with established guidelines and procedures in order to facilitate budgeting, billing and subject management activities. They will be communicating with study teams, finance teams, and Office of Clinical Research (OCR) that includes but is not limited to intake staff, coverage analysts and research quality staff. This person will complete calendar edits as necessary through completion of the study activation process. Ensures parameters and research rates are entered into the budget calendar accurately and in a timely manner. They will implement and update calendars based upon committee meeting conclusions related to calendar updates or modifications.","Title":"REMOTE CTMS Analyst","City":"Los Angeles","ExpirationDate":null,"PriorityOrder":0,"Requirements":"- 3+ years within a clinical trials setting- Bachelor\u0027s Degree- Ability to build a clinical study calendar- Understanding of a clinical trials protocol- Ability to build a clinical trial budget- Strong communications skills- Proficiency in Windows, MS Office applications in particular Excel and Word","Skills":"","Industry":"Project Manager","Country":"US","Division":"Government","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":33.6000,"SalaryLow":22.4000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

An employer is looking for a CSI Analyst or Specialist sitting fully remote. This individual will build clinical study calendars and help with budget build. They will review and interpret complex... More clinical research protocols and related documentation for CRMS study development and activation. This individual will build and configure study calendar specifications and budgets within the CRMS in a timely and professional manner. The incumbent will build all calendars in accordance with established guidelines and procedures in order to facilitate budgeting, billing and subject management activities. They will be communicating with study teams, finance teams, and Office of Clinical Research (OCR) that includes but is not limited to intake staff, coverage analysts and research quality staff. This person will complete calendar edits as necessary through completion of the study activation process. Ensures parameters and research rates are entered into the budget calendar accurately and in a timely manner. They will implement and update calendars based upon committee meeting conclusions related to calendar updates or modifications.Less

Jan 31, 2023

Wilton, CT

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Medical Coder

|

Perm

{"JobID":260462,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-73.4299090909091,"Longitude":41.2214,"Distance":null},"State":"Connecticut","Zip":"06897","ReferenceID":"HAR-598841","PostedDate":"\/Date(1675160154000)\/","Description":"Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.Maintains production goals set by the audit operations management team.Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.","Title":"Remote DRG Inpatient Auditor - March Class","City":"Wilton","ExpirationDate":null,"PriorityOrder":0,"Requirements":"5-7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.Expert coding knowledge (DRG \u0026 ICD-10)Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years in clinical documentation)ORIF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong clinical knowledge","Skills":"","Industry":"Medical Coder","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":95000.0000,"SalaryLow":75000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation,... More and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.Maintains production goals set by the audit operations management team.Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.Less

Feb 07, 2023

Frederick, MD

|

Programmer / Developer

|

Contract

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Our large government client is seeking a Python programmer to join their team in Rockville, MD. The candidate will be supporting one of their largest research programs by developing analytic tools to... More expand the use of Electronic Health Records (EHR), physical measurement data, wearables data, and clinical trial participant-provided self-reported information (PPI) data all incorporated in an existing large data repository for research purposes. incumbent will help the program establish data quality control and quality assurance grounded in transparency and scientifically accurate reporting appropriately addressing internal and external validity. Accordingly, the incumbent will need expertise in statistical analyses and analytics for complex biomedical, environmental, and scientific data and experience in providing documentation, training, and technical assistance using operational and research data and tools. The ideal candidate will need to have experience working independently, providing recommendations, trainings, and consulting with internal stakeholders.Less

Nov 18, 2022

Hartford, CT

|

Technical Writer

|

Contract-to-perm

{"JobID":245339,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-72.7257545454545,"Longitude":41.7850454545455,"Distance":null},"State":"Connecticut","Zip":"06156","ReferenceID":"HTD-586979","PostedDate":"\/Date(1668773788000)\/","Description":"A large healthcare client is looking for a remote Grant Writer to join their Clinical Trails Services team. The Grant Writer will be key to that expansion by identifying potential government contracts and grant opportunities that match the RWE and SS\u0026C mission and developing government contracts and grant proposals. The role of a Grant Writer is to plan and execute the government grantmaking process by working with the Clinical Trials Services Real World Evidence scientific, analytical, legal, program, and finance teams to research funding opportunities, develop responses to requests for information and proposals, develop grant budget, manage documents and deadlines, and track grantee results.","Title":"Remote Grant Writer","City":"Hartford","ExpirationDate":null,"PriorityOrder":0,"Requirements":"5+ years of healthcare research proposal writing experience 3+ years of project management experience 2+ years of accounting and budgeting experience 2+ years of Microsoft Word and Excel experience Ability and motivated to complete proposals before deadlines","Skills":"Experience with SalesForce experience Experience with healthcare analytics or research","Industry":"Technical Writer","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":56.1600,"SalaryLow":37.4400,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

A large healthcare client is looking for a remote Grant Writer to join their Clinical Trails Services team. The Grant Writer will be key to that expansion by identifying potential government... More contracts and grant opportunities that match the RWE and SS&C mission and developing government contracts and grant proposals. The role of a Grant Writer is to plan and execute the government grantmaking process by working with the Clinical Trials Services Real World Evidence scientific, analytical, legal, program, and finance teams to research funding opportunities, develop responses to requests for information and proposals, develop grant budget, manage documents and deadlines, and track grantee results.Less

Jan 03, 2023

Richmond, VA

|

Audit

|

Perm

{"JobID":251963,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-77.4392727272727,"Longitude":37.556,"Distance":null},"State":"Virginia","Zip":"23230","ReferenceID":"RIC-592165","PostedDate":"\/Date(1672737316000)\/","Description":"Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role: *Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. *Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters. *Maintains production goals set by the audit operations management team. *Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing). *Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.","Title":"REMOTE DRG Auditor","City":"Richmond","ExpirationDate":null,"PriorityOrder":0,"Requirements":"*1-2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology. *Expert coding knowledge (DRG \u0026 ICD-10) *Proficiency in Word, Access, Excel, and other applications. *Education (at least one of the following is required):oAssociates or bachelor\u0027s degree in Nursing (active/unrestricted license)oAssociate or bachelor\u0027s degree in Health Information Management (RHIA or RHIT)oEquivalent experience of 5+ years\u0027 experience in claims auditing, quality assurance, or recovery auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. *Coding Certification (at least one of the following are required and are to be maintained as a condition of employment)oRHIA or RHIToInpatient Coding Credential - CCS or CIC preferredoCandidates who hold a CCDS or CPC will be given consideration but will need to obtain an inpatient coding certification within 1 year of their hire date with the company. oClinical Documentation Improvement Certifications: CDIP","Skills":"","Industry":"Audit","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":100000.0000,"SalaryLow":80000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation,... More and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role: *Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. *Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters. *Maintains production goals set by the audit operations management team. *Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing). *Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.Less

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