Uses clinical expertise to review patient medical records and ensure that the documentation accurately reflects the patient’s diagnosis, treatments and severity of illness. This role bridges the gap between healthcare providers and coding professionals, ensuring that medical records are complete, compliant, and support proper reimbursement.
Locations (2)
Cape May Court House, New Jersey, United States
New Jersey, United States
Compensation
Salary Min ($) USD $34.00
Salary Max ($) USD $56.00
Responsibilities
Review inpatient medical records for clear consistent, concise, legible and accurate documentation
Generate and utilize queries to clarify physician documentation
Complete analysis of clinical information to identify gaps in clinical documentation
Collaboratively work with HIM Leadership, Coders, Coding Quality Educators/Reviewers and peers to improve accuracy of final DRG
Collaborate and provide educational support to physicians, nurses and ancillary staff to facilitate modifications of clinical documentation processes
Requirements
High School/GED
Bachelor's Degree
Bachelor's of Science in Nursing
Nice to have: Certified Clinical Documentation Specialist Certification
Nice to have: Certified Documentation Improvement Practitioner
Uses clinical expertise to review patient medical records and ensure that the documentation accurately reflects the patient’s diagnosis, treatments and severity of illness.
Compensation
Salary Min ($) USD $34.00
Salary Max ($) USD $56.00
Responsibilities
Review inpatient medical records for clear, consistent, concise, legible and accurate documentation
Generate and utilize queries to clarify physician documentation
Complete analysis of clinical information to identify gaps in documentation
Collaborate with HIM Leadership, Coders, Coding Quality Educators/Reviewers and peers to improve accuracy of final DRG
Provide educational support to physicians, nurses and ancillary staff to facilitate modifications of clinical documentation processes
Requirements
High School/GED Required
Bachelor's Degree Required
Bachelor's of Science in Nursing preferred
Nice to have: Certified Clinical Documentation Specialist Certification
Nice to have: Certified Documentation Improvement Practitioner
Responsible for all aspects of study site monitoring, site management, data integrity, SAE reporting, and project coordination for oncology and multi-specialty clinical trials.
Compensation
Target Pay Range: $110-$118K based on title
Responsibilities
Conduct routine monitoring and close-out of clinical sites
Maintain study files and conduct pre-study and initiation visits
Liaise with vendors and ensure protocol compliance
Ensure data integrity of CRFs and other data collection tools
Perform CRF review, query generation and resolution
Requirements
University or college degree, or certification in a related allied health profession from an appropriately accredited institution (e.g. nursing licensure)
FSP CRA 2 & Sr. CRA - Oncology & Multi Specialty TAs - Remote USNewLifelancer · Remote, US