211 Clinical Documentation Jobs - Page 4

As a healthcare professional at the company, your role will involve diagnosing and treating patients using modern technology. You will be responsible for executing clinical care programs and managing both new and existing customers/members who visit the company. Your duties will include carrying out rounds on patients, updating consultants, and following up as per the procare membership program, packages, etc. Additionally, you will be expected to document clinical information of patients during their transition between services. Key Responsibilities: - Conducting clinical rounds and updating consultants - Managing and providing general care to patients on premises and through digital medium...

Medical Risk Assessment & Underwriting Specialist Role Overview: This position is responsible for evaluating health insurance proposals and medical claims, assessing risk, and ensuring decisions are made in accordance with policy guidelines and regulatory compliance. The candidate should combine sound clinical judgment with strong underwriting acumen and innovative approaches to case evaluation. Key Responsibilities Review and process medical documentation and insurance claims to ensure accuracy, completeness, and compliance. Analyze patient information, laboratory findings, and treatment histories for risk assessment and decision-making. Determine coverage eligibility, exclusions, and appro...

Role Responsibilities Review and code patient medical records for diagnoses, procedures, and treatments Ensure compliance with coding standards, documentation, and reimbursement guidelines Conduct audits and identify discrepancies or deficiencies in medical documentation Collaborate with care teams and support staff for accurate and timely claim submissions Key Deliverables Accurate and complete coded medical records for billing and reporting Timely identification and resolution of documentation and billing discrepancies Knowledge sharing and training support for junior coding staff Continuous compliance with regulatory and insurance standards

Role Responsibilities: Diagnose and treat medical conditions and monitor patient recovery Prescribe medications and explain test results to patients and families Coordinate with healthcare teams for comprehensive patient care Advise on preventive healthcare practices and lifestyle Job Requirements: Graduate or postgraduate degree in medicine 24 years of clinical experience Strong diagnostic and communication skills Updated with latest medical trends and practices

Home Health Clinical Reviewer ICD-10, OASIS-E, POC (Level 2 & 3) Job Summary: We are seeking an experienced and detail-oriented Home Health Clinical Reviewer with expertise in ICD-10 coding, OASIS-E assessments, and Plan of Care (POC) reviews at Levels 2 and 3. The ideal candidate will ensure clinical documentation accuracy, regulatory compliance, and optimal reimbursement through precise coding and thorough review of patient records. This role plays a critical part in maintaining quality care standards while supporting operational efficiency in our home health program. Key Responsibilities: 1. ICD-10 Coding Assign accurate ICD-10-CM diagnosis codes for home health episodes in accordance wit...

To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities o...

To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities o...

To get sufficient information necessary to function effectively in the home healthcare setting where assigned. To provide professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patients status by: Writing and initiating plan of care. Regularly re-evaluating patient needs. Revising the plan of care as necessary To initiate and sustain the implementation of orders for medications and treatment as prescribed by the physician To initiate and apply appropriate preventive, therapeutic and rehabilitative nursing procedures and techniques and maintaining communication regarding patients condition and care. To provide assistance to patient with the activities o...

Accurately assign ICD-10 codes and DRG classifications for inpatient records. Ensure compliance with national and international coding standards. Collaborate with clinical and non-clinical teams to clarify documentation. Conduct quality checks and audits to maintain coding accuracy. Stay updated with the latest coding guidelines and healthcare regulations. Requirements: Bachelors degree in Life Sciences, Nursing, or a related field. 0.6 Months 4 years of hands-on experience in IPDRG coding. Strong knowledge of ICD-10, DRG systems, and clinical documentation. Excellent attention to detail and analytical skills.

The IPDRG QA role involves conducting quality assurance reviews of inpatient medical records to ensure accurate assignment of DRGs, ICD-10-CM/PCS codes, and adherence to coding and clinical documentation standards. This position plays a crucial role in upholding compliance with federal coding guidelines, regulatory mandates, and maintaining revenue cycle integrity. Key responsibilities of the role include conducting retrospective and concurrent quality reviews of inpatient coding and DRG assignments, validating the accuracy and completeness of coding based on clinical documentation, auditing DRG assignments to ensure appropriate severity of illness (SOI), risk of mortality (ROM), and reimbur...

Drives implementation of CDGM initiatives, projects and process improvement activities to enhance the planning and execution of migrations to and from enterprise clinical eDMS at Novartis. Act as CDGM point of contact for partnering with CDGM, IT (internal and external) and business stakeholders to plan and execute migrations to and from eDMS, in line with Novartis business, compliance and operational requirements. Partner with CDGM and business stakeholders, especially those planning in-licensing and out-licensing activities to identify and agree migration business requirements, understand source and target system capabilities and develop/maintain a future migration roadmap. Contribute to a...

As a Patient Care Assistant, you will play a crucial role in providing comprehensive care and support to patients across various medical settings. Your responsibilities will encompass a wide range of tasks aimed at ensuring the well-being and comfort of patients under your care. Your primary duties will involve conducting patient assessments, including collecting medical histories, vital signs monitoring, and overall condition evaluation. Triage may be necessary to prioritize patient care based on the urgency of their conditions. During procedures, treatments, and recovery phases, you will be responsible for closely monitoring patients, especially those receiving injections, IV fluids, or po...

As a Clinical Operations team member at Suki, you will collaborate with our clinical and product teams to refine the existing product and design new features tailored to clinicians" needs. Your primary responsibilities will include translating clinical language into AI logic, working closely with AI Engineers to convert clinical insights into actionable algorithms for the digital assistant. You will also be involved in creating and editing gold standard medical documentation for model training purposes, as well as continuously refining and optimizing AI output to ensure quality and accuracy from a clinical standpoint. To excel in this role, you should hold a Doctor of Medicine or Osteopathy ...

You will be joining our team as a skilled Prosthetist and Orthotist. Your primary responsibilities will include conducting patient assessments, customizing and fitting prosthetic and orthotic devices, and collaborating with design and engineering teams to enhance device functionality. The ideal candidate should possess hands-on experience in prosthetics and orthotics and a strong commitment to delivering top-notch patient care. Your key responsibilities will involve: - Engaging directly with potential clients to comprehend their mobility challenges and relevant medical history through inbound leads, referrals, and website inquiries. - Evaluating patient medical records and clinical documenta...

Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a se...

Job Description: Svarrnim Valves, a branch of Svarrnim Infrastructures Pvt. Ltd., a prominent company with 38 years of experience in India, is seeking a dedicated Documentation Specialist for a full-time on-site role in Gautam Buddha Nagar. As a Documentation Specialist, you will play a crucial role in creating, updating, and maintaining comprehensive documentation pertaining to the company's products and processes. Your responsibilities will include preparing clinical, technical, and general documentation, collaborating closely with the production team to gather essential information, and ensuring that all documents adhere to regulatory standards and company guidelines. The ideal candidate ...

We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potentia...

As a Prior Authorization Specialist at Resolv, you will play a crucial role in managing prior authorizations and referrals to ensure timely approvals and accurate verification of insurance eligibility. Your responsibilities will include reviewing clinical data, coordinating with insurance providers, and maintaining compliance with client workflows. Operating in a fast-paced, team-oriented environment, you will need to demonstrate exceptional accuracy, critical thinking, and multitasking abilities. Working remotely, you will be part of a night shift team based in Mumbai. Your primary functions will involve verifying patient insurance coverage, initiating new prior authorizations/referrals, an...

Job Overview Spandana Hospital is seeking a Junior Neurologist to join our team in Bangalore. This is an excellent opportunity for a medical professional with 1 to 3 years of experience to work in a dynamic environment focused on patient-centered care. The position offers flexible employment types including Full-Time or Part-Time. As a Neurologist, you'll play a crucial role in examining, diagnosing, and treating patients with neurological disorders. Qualifications and Skills Minimum 1-3 years of relevant work experience in a clinical setting, specifically within the neurology department. Strong expertise in neurological examination to accurately diagnose a wide array of neurological conditi...

Job Summary The IPDRG Medical Coder is responsible for assigning accurate codes to inpatient medical records, ensuring compliance with coding standards and contributing to the efficiency of healthcare processes. Key Responsibilities Assign IPDRG codes to inpatient medical records based on established guidelines and regulations. Review and interpret clinical documentation to ensure accurate coding. Collaborate with healthcare professionals to resolve documentation discrepancies. Meet coding accuracy and productivity targets. Stay informed about updates to coding standards and practices. Required Qualifications Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Spec...

Job Description: We are looking for skilled Home Health Coders to join our healthcare RCM team. The role involves reviewing patient documentation for home health services and assigning accurate ICD-10-CM codes to ensure compliance with payer and regulatory requirements. Key Responsibilities: Assign appropriate ICD-10-CM diagnosis codes for home health episodes of care . Review OASIS and physician documentation to ensure accurate coding. Ensure compliance with CMS guidelines and payer-specific requirements. Collaborate with clinicians and billing teams to resolve documentation gaps. Support denial management teams by correcting coding-related rejections. Maintain productivity and quality benc...

• Develop and review content for various regulatory documents; ensure quality as per setegulatory standards and compliance requirement. • Good understanding of global regulatory dossier formats and ACTD/CTD/NeeS/paper dossier format. • Candidate will need to author and/or review clinical and non-clinical documents under Module 2, 4 and 5 of eCTD, and Part III and Part IV of ACTD for submission to the Health Authorities in EU and APAC markets, respectively. Key requirement: • Good medical/pharma/scientific knowledge that can be applied in developing content for regulatory documents • Experienced in the development and review of clinical and non-clinical documents under Module 2, 4 and 5 of eC...

We are seeking qualified healthcare professionals in the roles of ANM, Anesthesiologist, and Genetic Technician to support our medical and clinical operations. The selected candidates will be responsible for providing patient care, assisting in medical procedures, and supporting laboratory and clinical diagnostics as per their specialization. Key Responsibilities: Provide pre- and post-operative care for patients (Anesthesiologist/ANM). Administer anesthesia under supervision and monitor patient vitals during procedures (Anesthesiologist). Assist doctors and nurses in surgical and clinical procedures (ANM). Conduct genetic testing, analysis, and reporting under standard laboratory protocols ...

We are seeking a motivated Physiotherapist to join our healthcare team in India. The ideal candidate will work with patients to help them recover from injuries and improve their physical functionality. This is a great opportunity for recent graduates looking to start their career in physiotherapy. Responsibilities Conduct thorough assessments of patients physical conditions. Develop and implement personalized treatment plans. Assist patients in performing exercises and rehabilitation activities. Educate patients and their families about recovery processes and injury prevention. Maintain accurate and up-to-date patient records. Collaborate with healthcare professionals to provide comprehensiv...

We are seeking a motivated Physiotherapist to join our healthcare team in India. The ideal candidate will work with patients to help them recover from injuries and improve their physical functionality. This is a great opportunity for recent graduates looking to start their career in physiotherapy. Responsibilities Conduct thorough assessments of patients physical conditions. Develop and implement personalized treatment plans. Assist patients in performing exercises and rehabilitation activities. Educate patients and their families about recovery processes and injury prevention. Maintain accurate and up-to-date patient records. Collaborate with healthcare professionals to provide comprehensiv...