ICD-10, ICD-9, CPT

coding, DRGs, and other relevant classification systems. Collaborate with nursing staff to gather detailed clinical information related to patient care in various settings including inpatient units (ICU, PICU, Level I & II Trauma Centers), outpatient clinics, primary care, pediatrics, and specialized units like OR or hospice care. Perform utilization review and management activities to support discharge planning, case management, and clinical documentation improvement initiatives. Ensure compliance with HIPAA regulations concerning medical records and medical documentation confidentiality. Maintain up-to-date knowledge of healthcare regulations such as NCQA standards and managed care policies affecting documentation practices. Provide education and support to clinical staff regarding documentation requirements for accurate coding and billing processes. Assist in the transition of patient data across different EMR/EHR platforms ensuring seamless documentation review and management. Skills Proficiency with EMR/EHR systems including Epic, Cerner, Athenahealth, eClinicalWorks or similar platforms. Strong knowledge of medical terminology, anatomy, physiology, nursing practices, and clinical documentation standards. Experience with

ICD-10/ICD-9

coding, CPT coding, DRGs, Medicare regulations, utilization review/management processes. Familiarity with inpatient (ICU, trauma centers), outpatient clinics, hospice care, discharge planning, home care settings. Background in managed care environments with understanding of NCQA standards and health information management principles. Excellent attention to detail with strong organizational skills for managing complex medical records and documentation review tasks. Ability to work collaboratively across multidisciplinary teams including nursing staff and case managers. Knowledge of HIPAA compliance requirements related to patient privacy and medical records security. This role is ideal for professionals committed to improving patient outcomes through precise clinical documentation while supporting healthcare operations in a fast-paced environment. The successful candidate will demonstrate expertise in medical coding systems and healthcare IT platforms while maintaining a focus on regulatory compliance and quality improvement initiatives. IND1

Pay:

$82,000.00 - $95,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Travel reimbursement Vision insurance

Experience:

MDS :

1 year (Required)

License/Certification:

RN or LPN License in the State of Ohio (Required) Ability to

Commute:

Perry Heights, OH (Required)

Work Location:

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