UNKNOWN

FEED

Qualifying professional pharmacy experience may involve, but is not limited to: Dispensing medications prescribed by physicians and other health practitioners and providing information to health practitioners and patients about proper usage of medications and side effects; Evaluating medication use patterns and outcomes for patients in hospitals or managed care organizations; Performing administrative, consultative, or staff advisory work for a medical facilitys pharmacy program; Planning, monitoring and evaluating medication programs or regimens; Establishing medication-handling procedures for the storage and preservation of medications; Researching medical literature and/or clinical medication information to provide accurate responses to inquiries; and/or. Basic Requirements for the GS-12 (or equivalent) Grade Level: In addition to the requirements for the GS-11 (or equivalent) level AND your resume must demonstrate at least one (1) year of specialized experience equivalent to the GS-11 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Conducts hospital authorized outpatient pharmacy clinics for examination, diagnosis and treatment of specialized patients.

YEAR

US Department of Health and Human Services

Pharmacist

Eligible providers may apply for loan repayment through the Washington Student Achievement Council (Washington Health Corps | WSAC) &/or Nurse Corps Loan Repayment Program (Apply to the Nurse Corps Loan Repayment Program | Bureau of Health Workforce (hrsa.gov)). Ambulatory Care Nursing Board Certification (view details at Ambulatory Care Nursing Certification (AMB-BC) | ANA) - if not currently certified, must obtain within first year of employment and we'll reimburse the certification exam fee after passing the exam.

HOUR

Unity Care NW

RN In Outpatient Family Medicine Clinic

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Clinic RN in Outpatient Family Medicine

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Must possess or achieve one of the following AAPC specialty surgical certification(s) within one year from hire or transfer into the position: (Certified Cardiology Coder [CCC], Certified Coding Associate [CCA, Certified Cardiovascular and Thoracic Surgery Coder [CCVTC], Certified Gastroenterology Coder [CGIC], Certified General Surgery Coder [CGSC], Certified Interventional Radiology Cardiovascular Coder [CIRCC], Certified Obstetrics Gynecology Coder [COBGC], Certified Ophthalmology Coder [COPC], Certified Orthopedic Surgery Coder [COSC], Certified Urology Coder [CUC]). Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT]), Certified Coding Associate CCA.

Evergreen Healthcare

Certified Coder-Profee II

JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. Must be able to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in UW Medicine/Valley Medical Center (VMC).

Valley Medical Center

Coding Auditor and Educator (Remote - WA Residents Only)

JOB OVERVIEW: The Risk Adjustment Auditor and Physician Educator is responsible for developing the process and reporting for performing annual, period, and other quality assurance reviews of medical record documentation and coding to ensure appropriate capture of Hierarchical Condition Categories (HCC) conditions. This position utilizes expertise and national coding guidelines as reference in performing medical record coding audits and in partnership with the Physician Champion, develops strategies for provider education and training.

Risk Adjustment Auditor and Physician Educator (4088)

The incumbent in this role will promote and advance the mission of Bloodworks in saving lives by achieving excellence in Transfusion Service in basic immunohematological testing and procedures, order management, applying critical thinking in the selection, preparation, and distribution of components, participating in quality functions, and providing exceptional customer and transfusion safety to our patients, hospitals, and patient care partners in the community. Responsibilities of this role include, but are not limited to: Perform immunohematological procedures under routine and emergency protocols for antibody detection, compatibility testing, simple antibody identification, investigation of transfusion reactions, prediction/detection of Hemolytic Disease of the Newborn, identification of RhIG candidates, and other diagnostic testing.

Bloodworks Northwest

Technologist I - Certified

Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Medical Reimbursement Specialist Jobs in New Jersey

Pharmacist US Department of Health and Human Services

RN In Outpatient Family Medicine Clinic Unity Care NW

Clinic RN in Outpatient Family Medicine Unity Care NW

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Certified Coder-Profee II Evergreen Healthcare

Coding Auditor and Educator (Remote - WA Residents Only) Valley Medical Center

Risk Adjustment Auditor and Physician Educator (4088) Valley Medical Center

Technologist I - Certified Bloodworks Northwest

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