- Community Health Systems (Flowood, MS)
- **Job Summary** The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, ... or ICD-10 certification or trainer designation required or + Certified Clinical Documentation Specialist (CCDS) required + RHIT - Registered Health… more
- Sedgwick (Jackson, MS)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical clinical knowledge to ensure information… more
- Sumitomo Pharma (Jackson, MS)
- …ready for audits and inspections. Partnering with the Associate Director, Clinical Business Operations, the specialist ensures accountable functions follow ... Microsoft Office skills required. + Demonstrate a comprehensive knowledge of Good Clinical Practice, Good Documentation Practice, and International Council for… more
- Datavant (Jackson, MS)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and...assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS and CPT codes influencing APC… more
- Intermountain Health (Jackson, MS)
- **Job Description:** The Pharmacy Government Stars Specialist is responsible for supporting and improving the quality performance of Government programs, ... particularly Medicare, with a strong focus on clinical measures and patient outcomes. This role plays a...with pharmacies to prevent delays in medication access. The specialist is also tasked with identifying and engaging members… more
- ASM Research, An Accenture Federal Services Company (Jackson, MS)
- …sanction data banks. + Collects professional/peer references and completed clinical privileges, demographics, military and civilian practice history (including ... adverse privileging actions and malpractice history), health status, documentation of contingency and continuing education training, national provider identification… more
- Prime Therapeutics (Jackson, MS)
- …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide… more
- CenterWell (Jackson, MS)
- … Documentation Improvement (CDI) Physician Liaison to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate ... for PCO risk adjustment at the division and market level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve… more
- Evolent (Jackson, MS)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Specialist and use your expertise in interventional cardiology to...meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic… more
- CVS Health (Jackson, MS)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... conditions + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations… more
- Datavant (Jackson, MS)
- …visits. Surgical knowledge is preferred. Must be familiar with Primary Care and a specialist . **What You Will Do:** + Review medical records and assign precise codes ... reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers, management, and hospital… more
- Community Health Systems (Flowood, MS)
- …documenting data and promptly reporting any abnormalities to the physician or clinical team. + Prepares patients for procedures by positioning, draping, and ... to alleviate anxiety and ensure compliance. + Ensures accurate and complete documentation of procedures, patient data, and equipment usage in compliance with… more