Minimax Coding Plan Jobs in Usa

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Summary

Job Summary

Clinical Documentation Specialist SR

Position Highlights:

• The Clinical Documentation (CDI) Specialist Senior is a responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record by working directly with providers. This position is responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchal condition categories of the patient.
• The Clinical Documentation Specialist Senior assesses clinical documentation through extensive medical record review, deployment of artificial intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients’ medical conditions. Extensive collaboration with physicians, mid-levels, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with on-site meetings, zoom meetings, telephonic discussions, rounding and email. This position will collaborate with the Health Information Management (HIM) coding staff and the Educators to ensure that appropriate reimbursement is received for the level of services rendered to patients, clinical information utilized in profiling and reporting outcomes is complete and accurate.
• Additionally, the Clinical Documentation Specialist Senior is expected to function as a subject matter expert on the team and assist less experience team members in understanding and following operational policies. This role is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership.

Responsibilities:

• Reviews medical records for quality, completeness, and accuracy of documentation. Ensures that coded diagnoses accurately reflect level of patient care and patient status, including severity of illness and risk of mortality. Identifies gaps in documentation as well as conflicting or unspecified diagnoses and clarifies diagnoses with providers to assign the most accurate ICD 10CM/PCS code from the documentation. Must meet and maintain the quality and productivity measures established per polices.
• Delivers ongoing education to providers through collaboration and communication via on-site meetings, zoom meetings, telephonic discussions, rounding, and email. Provides supplemental educational material and tools relative to documentation improvement practices for individual practitioners and groups of clinicians.
• Identify and share documentation improvement opportunities with providers to capture the patient's accurate severity of illness and risk of mortality, comorbid conditions, and all other condition categories.
• Develop clear, concise and compliant written and verbal queries to providers, seeking clarification on unclear, incomplete, or non specified documentation. Utilizes software system and the Natural Language Processor (NLP) to review, compile clinical indicators for provider collaboration, code, collect, track, and report outcomes accurately and timely.
• Key Performance Indicators and additional significant metrics will be reported and discussed regularly, and as needed to the Medical Executive Committee via presentation to the Medical Records Committee and with other committees as directed
• The Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership.

Credentials and Experience:

• Associate’s Degree – field of study: Nursing, HIM or another Healthcare related field
• A minimum six (6) years acute care clinical documentation experience
• ICD-10-CM and ICD-10-PCS coding and query process knowledge
• Ability to recognize opportunities for documentation improvement, and hold collaborative discussions with providers to address the opportunities in documentation.
• Proficient in computer skills including: MS Office, Optum 360 eCAC, Cerner HER

Certifications:

• (CCDS) Certified Clinical Documentation Specialists from ACDIS
• (CDIP) Certified Documentation Integrity Practitioner from AHIMA
• (CDEI) Certified Documentation Expert Inpatient from AAPC
• Registered Nurse (RN) *in lieu of a certification listed above, an (active) RN will satisfy the certification requirement

Position Details

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Work Hours per Biweekly Pay Period: 80.00

Shift:

Location: 1324 Lakeland Hills Blvd Lakeland, FL

Pay Rate: Min $161,200.00 Mid $215,300.80

Position Summary

The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.

Position Responsibilities

People At The Heart Of All We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Supervisor/Team Lead Capabilities

• Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
• Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
• Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
• Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
• Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
• Promotes a healthy and safe culture to advance system, team and service experien

Standard Work: Physician Advisor

• Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
• Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
• Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
• Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
• Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
• Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
• Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
• The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
• Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
• Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.

Competencies & Skills

Essential:

• Broad knowledge base of clinical medicine across all specialties.
• Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
• Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
• Computer skills appropriate to position
• Excellent written and verbal communication skills.

Qualifications & Experience

Essential:

• Medical Degree

Essential:

• Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.

Other information:

Experience Essential:

- Minimum of two years of experience in conducting coding and CDI reviews.

- Knowledge of coding guidelines and how it translates from clinical documentation.

- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.

- Excellent computer skills with prior exposure to use of Microsoft Office suite

Immediate need for a talented Bioinformatics Research Associate II . This is a 12+months contract opportunity with long-term potential and is located in Waltham, MA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:26-08726

Pay Range: $40 - $50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Manager Notes:
• DIL: bio to support next-gen sequencing group. Some are in the lab, some are writing codes and analytical pipelines, working with Client coding and development systems, collaborating with the lab team, lots of coding, working with quality teams to ensure meeting metrics.
• Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.). NGS pipeline development.
• 9-5 some wiggle room if they need to come in earlier leave earlier, Onsite but if they need a day or two here and there they can request a day to work remote A strong candidate would have Coding experience, papers published on coding, need next gen sequencing analysis, gene therapy group so if they have some exp in that or bio that would be a great advantage.
• Relevant experience is more important than a degree for the role.
• Does not want to see anyone with zero coding experience. No mention of the tools list would be a hard pass.
• Support computational needs for the development and validation of NGS-based assays.
• Work closely with a multi-disciplinary team of scientists and engineers to implement genomic analytical solutions for programs spanning precandidate selection through late phase clinical development.
• Develop, execute, and maintain NGS analysis pipelines for execution in cloud-based computational environments.
• Keep records of development work and testing in a GxP environment utilizing electronic notebook solutions.
• Represent the group at internal meetings.

Key Requirements and Technology Experience:

• Key Skills;Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.)
• Minimum of 1 year of experience with NGS, spanning knowledge and hands-on dry-lab experience.
• Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
• A strong candidate would have Coding experience, papers published on coding, need next-gen sequencing analysis, and gene therapy.
• Degree in a relevant computer science discipline with a minimum of 3 years of relevant industry experience.
• Minimum of 1 year experience with NGS, spanning knowledge and hands-on dry-lab experience.
• Expertise in bioinformatics with a working understanding of genomic analysis solutions (e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.).
• Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
• Understanding of NGS platforms, specifically those utilizing the synthesis by sequencing technique (i.e., Illumina platforms).
• Ability to work independently and adapt under aggressive and/or changing timelines.
• Familiarity with the software development lifecycle (e.g., Git).
• Automated unit testing for test-driven design (TDD).
• Familiarity with basic molecular biology techniques (e.g., ligation, PCR, and qPCR) as well as nucleic acid extraction and analysis techniques (e.g., Nanodrop, DNA fragment analyzers, ddPCR, etc.).
• Knowledge of and experience with other sequencing platforms (i.e., SMRT sequencing).
• Prior experience in leading the internalization of custom NGS analysis pipelines is highly preferred.
• Wet-lab method development experience to support NGS workflows.

Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

About Us

We’re continuing to build a transformative healthcare accreditation platform that is revolutionizing how our clients and new hospitals manage compliance, quality improvement, and regulatory processes. Our platform combines cutting-edge technology with deep healthcare domain expertise to solve real problems for healthcare organizations nationwide.

The Opportunity

The goal is to have interns turn into full time employees; Therefore, you will be given full time responsibilities day one. To add onto that, you will be working in a high velocity growth startup and will be required to move fast. You’ll work directly with our engineering team on a production healthcare platform, gaining hands-on experience with enterprise-grade systems while making real contributions that impact our product and customers.

Compensation Structure

Base position is unpaid, however qualified candidates may receive upfront equity compensation based on their experience level and demonstrated capabilities. We evaluate each applicant individually and offer equity packages commensurate with their potential contribution.

About the Role

We’re hiring for an AI Engineer. To be considered, you must have a deep expertise in a focus and some knowledge of the latter.

Requirements

• Deep specialization in one of these areas: Agentic AI (Claude Agent SDK, MCP Servers, Tool Use) + Node.js/TypeScript + AWS + RAG

• Strong understanding of modern practices and version control (Git)

• Ability to work collaboratively within a specialized team structure

• Passion for building production-ready, scalable systems

Nice to Have

• Experience working in team environments with separated responsibilities

• Understanding of production AI deployment

• Experience with Claude Code, MCP server development, or agentic AI frameworks

• Previous experience with healthcare or regulated industries

What You’ll Build

• Agentic AI systems: Autonomous agents using Claude Agent SDK, MCP servers, and tool use for domain-specific workflows, combined with RAG for knowledge retrieval via Bedrock

• Node.js API services: Production AI inference endpoints and services integrated into our existing Node.js/MongoDB platform + Voyage AI vector database management

• AWS AI services: Lambda-based inference, Bedrock integration

• Semantic search & MCP integrations: Knowledge extraction and contextual Q&A systems using S3 Vectors, Mongo DB Atlas and OpenSearch (hybrid search), exposed via MCP servers for agent consumption

Key Responsibilities

• Conduct exploratory data analysis to identify patterns in complex healthcare datasets

• Build agentic AI systems using Claude Agent SDK, MCP servers, and tool use, alongside RAG pipelines with AWS Bedrock and vector databases

• Manage vector databases: Mongo DB/S3 Vectors

• Develop document processing pipelines for text extraction and analysis

• Create production Node.js services for real-time AI inference, integrated with our MongoDB data layer

• Implement semantic search and knowledge extraction from document repositories

• Design Lambda-based inference systems on AWS

• Integrate LLMs via agentic frameworks (Claude Agent SDK, MCP) for domain-specific autonomous workflows and Q&A systems

• Develop ETL processes for external data sources and APIs

Required Qualifications

Candidates must meet all Core Qualifications.

Core Qualifications

• Node.js/TypeScript programming skills

• Git for version control

• Understanding of deployment and production systems

• Collaborative development workflows

AI/ML Development

• Experience building production AI services in Node.js/TypeScript

• 1+ years with AWS services (Lambda, Bedrock, S3, EC2) and agentic AI frameworks (Claude Agent SDK, MCP servers, tool use)

• RAG development experience with vector databases

• NLP/Document processing expertise (text extraction, classification, information retrieval)

Nice to Have

• Healthcare or regulated industry experience

• Experience with Claude Code and agentic development workflows

• Experience with Hugging Face transformers and LLMs

• MongoDB experience and familiarity with aggregation pipelines

• Time-series forecasting and anomaly detection

• Advanced statistical modeling (survival analysis, propensity scoring)

• Knowledge of data privacy and compliance frameworks

Technical Stack

AI/ML Development: Node.js/TypeScript, AWS (Bedrock, Lambda, S3, EC2), Agentic AI (Claude Agent SDK, MCP Servers, Tool Use, Claude Code), MongoDB, Vector Databases (S3 Vectors, OpenSearch), NLP libraries (sentence-transformers), Git

Our Hiring Process

We believe in a transparent and thorough selection process that respects your time while ensuring mutual fit:

Initial Screening Call

We’ll discuss your background, experience, and career goals, while providing an overview of the role and our team culture.

Technical Challenge (issued on case by case basis)

You’ll receive a real-world technical challenge to complete within a specified timeframe. We encourage you to leverage all available resources—including AI tools, documentation, and libraries—just as you would in a production environment. This reflects how we actually work and allows you to showcase your problem-solving approach.

Technical Interview

We’ll have an in-depth discussion about your solution and explore related technical concepts. You should be prepared to walk through every aspect of your submission—explaining architectural decisions, code logic, trade-offs, and potential improvements. Whether you wrote the specific code section manually or generated it with AI assistance, you must demonstrate complete ownership and understanding of the entire codebase. This is a production-level assessment: we expect you to discuss, debug, and defend your work as if it were going live tomorrow.

We’re looking for engineers who can think critically, adapt their approach, and truly understand the systems they build—not just those who can generate code.

Ready to apply? We look forward to hearing from you!

MedLaunch is an equal opportunity employer committed to diversity and inclusion.

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at HCA Houston Healthcare West have the opportunity to make a real impact. As a(an) Registered Nurse Rapid Response you can be a part of change.

HCA Houston Healthcare West, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Registered Nurse Rapid Response. We want your knowledge and expertise!

Rapid Responders are collaborative members of the health care team who deliver nursing and collaborative medical aspects of care to specific populations within the scope of care delineated by the licensing board, and professional standards of care. Rapid Responders collaborate with physicians, nurse practitioners and interdisciplinary team members to review the plan of care, intervene when necessary to ensure adequate delivery of quality, cost-effective care and maintain continuity of care through appropriate referral and follow-up.

What you will do in this role:

• Responds to all RRTs (Rapid Response calls), Code Blue, Code Sepsis, and Code Stroke
• Will take on the role of educator and provides support and education to staff as needed
• Communicates daily with each charge nurse to identify high risk patients
• Rounds on all medical-surgical units every two hours to address MEWS scores and questions and/or concerns of staff.
• Assesses all “at risk” patients as identified by MEWS score increases
• Monitors surgery schedule and rounds on any “at risk” post op patients
• Facilitates debriefings/critiques post codes
• Enters RRT data and creates monthly reports using excel, reports data to appropriate committees
• Completes 24 hours post RRT/Code Blue follow up and documentation
• Leads anient complaints to appropriate Unit Managers
• Utilizes chd facilitates RRT/Code Blue Committee
• Refers patain of command to ensure appropriate action is taken
• Facilitates a staff satisfaction feedback system for RRT
• All other duties as assigned.

What qualifications you will need:

• Advanced Cardiac Life Spt must be obtained within 30 days of employment start date
• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• (RN) Registered Nurse

HCA Houston Healthcare West is a full-service, 300+ bed hospital that has been offering exceptional care to the West Houston communities for over 30 years. We proudly provide Houston residents with exceptional healthcare, including a vast-array of medical services from board-certified doctors and nationally accredited departments. We are recognized as a Certified Primary Stroke Center by the Joint Commission and under an affiliation agreement with The Woman’s Hospital of Texas, we are able to bring our community The Woman’s Hospital of Texas at West Houston, a three-story cardiac and critical care tower. The Sugar Land Cancer Center and the Sugar Land Diagnostic Center, departments with HCA Houston Healthcare West, provide additional services to meet the needs of our community. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Rapid Response opening. Submit your application today and help advance the practice of nursing.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility. 

To be responsive to our employee’s needs we offer:

• 
  
• Generous PTO accrual (increases with tenure)
  
• Paid sick leave days
  
• Medical/Dental/Vision
  
• Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
  
• 403(b) with employer match
  
• Early Childhood Center, discounted on-site childcare
  
• And more! Click here to learn more about our full benefits package
  

JOB SUMMARY

The Office Coordinator performs all duties required to support and coordinate functions efficiently to meet and/or exceed customer expectations. Responsible for compiling patient’s medical record, coordinating patient’s tests and procedures with multiple internal and external sources. Completes patient order entry and maintains par level of patient and departmental supplies, and is an instrumental resource of patient information to physicians and staff.

ESSENTIAL FUNCTIONS

• 
  
• Promptly acknowledges a patient upon their arrival to the department.  Quickly and efficiently addresses the patients’ needs.  Knows and relays information to the patient i.e. wait times, special instructions, etc.
  
• Maintains confidential patient records and physician orders via computer and paper.
  
• Communicates daily via telephone, fax, email to physicians, referring physicians, offices, and patients to ensure patient satisfaction.
  
• Enters physician orders into the HIS accurately for all imaging modalities.     
  
• Demonstrates proficient computer skills in HIS, RIS, email, MS Word, MS Excel.
  
• Scans physician orders in the appropriate account in the HIS.
  
• Escort patients to the appropriate waiting area for their exam.
  
• Performs daily reminder calls to the patients.  This includes specific exam information and preparation instructions.
  
• Coordinates imaging and procedures, ensuring accurate preps, diets, medications, and supplies, etc., are communicated to the patient and/or provider’s office. Prioritizes the scheduling of multiple tests and procedures.
  
• Schedules in HIS for all radiology modalities, follows the protocol for such scheduling, obtains proper paperwork, and required signatures in accordance of quality standards and to maintain accuracy.
  
• Accurately enters orders in HIS and reason for exam for appropriateness.  Determines the correct patient account when placing imaging orders.
  
• Accurately utilizes RIS (Radiology Information System) to arrive patients and obtain patient information.
  
• Encourages cost savings for the department and organization.
  
• Provides excellent customer service, demonstrates professionalism and courteous telephone etiquette.
  
• Demonstrates flexibility, positive interpersonal relations in high volume, high traffic, and fast paced work environment.
  
• Demonstrates good positive communication skills with patients, families, medical staff and co-workers.
  
• Communicates closely with interdepartmental staff to coordinate schedules and obtain proper paperwork and previous diagnostic imaging when necessary.
  
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.
  
• Must be free from governmental sanctions involving health care and/or financial practices.
  
• Performs other duties as assigned.
  
• Review of patient records for information needed for procedures (i.e. labs, previous exams etc.)
  
• Shows initiative. Tasks are completed before the end of shift and aids in preparation for the next day. Uses time wisely.  Able to multi-task, prioritize work, and complete it in a timely manner.
  
• Knowledge of medical terminology and familiarity with medical diagnostic procedures.
  
• Knowledge of current health care billing practices and authorization requirements.
  
• Confirms insurance information with the patient or provider’s office for authorization purposes.
  
• Coordinates scheduling of patient exams with CCH authorization staff to limit wait times for patients and ensure adequate authorization from patient insurance.
  
• Familiarity with CPT codes for imaging procedures.
  
• Familiarity with ICD-10 codes.
  
• Verifies Medical Necessity when scheduling and entering orders.  Communicates to provider offices regarding absence of medical necessity, or medical necessity fails.
  
• Coordinates complex imaging requests and/or procedures with other departments in the hospital.
  
• Coordinate and participate in activities relating to the retrieval of prior patient imaging, importing CD’s into PACS per protocol.
  
• Participates in the Appropriate Use Criteria for Advanced Diagnostic Imaging program following CMS guidelines.  Assists physician offices with AUC resources and website information for CPT code accuracy.
  

JOB QUALIFICATIONS

• 
  
• Education
  
  
  • 
    
  • High school graduate or GED
    
  
  
  
• Licensure
  
  • 
    
  • None
    
  
  
  
• Certifications required
  
  • 
    
  • See Cardiopulmonary Resuscitation Certification Policy and Certifications/Education Requirements Policy.
    
  
  
  
• Experience
  
  • 
    
  • Previous clerical or unit secretary experience preferred.
    
  • Courses in medical terminology or unit secretary training program preferred
    
  
  
  

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