Netsmart Technologies
Responsible for monitoring, reviewing, and proposing measures to correct or improve staff capability and quality
Required: At least 4 years of experience in Inpatient/Outpatient Coding review Expert in ICD-10 coding and guidelines Proficient in Inpatient/Outpatient industry regulations and guidelines Excellent communication and presentation skills Working knowledge of Microsoft Office Preferred: Advanced clinical degree Active clinical license (e.g. RN, PT, OT, SP)
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Accountable for internal competency of Inpatient/Outpatient Coding staff Develop content for and deliver orientation and training for new associates and ongoing skill-based training for all reviewers Complete quality assurance processes; document and report findings Lead client and reviewer quality communication and resolution Test McBee Clinical Review functionality Act as an expert resource for highly complex or first-of-a-kind reviewer questions; ensure knowledge management resources are available, updated and leveraged. Accountable to communicate quality concerns to all stakeholders
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