Clinical Data Mapper
ettain group - Charlotte, NC

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Major Accountabilities:

Error Mapping, QAs , Support and Research Work

Ø Using broad medical knowledge and clinical expertise, code error maps and complete QAs skillfully and accurately

Ø Perform clinical QAs for different All Patient Refined Diagnostic Related Groups (APR-DRGs), which is the assignment of diagnosis and procedural ICD9 codes in order to organize them in a complex, comprehensive system primarily for the purposes of reimbursement and to ensure accuracy of mappings

Ø Research clinical procedures and information using internet sources such as Google, ARUP, etc.

Ø Source problems by drilling down detailed patient billing using SQLPad or Transform to verify integrity of the data

Ø Resolve errors, omissions or discrepancies in data through consultant

Ø Collaborate with team members (consultants, hospital contacts, and team leader) regarding mapping, QA problems and solutions

Ø Compose letters to hospital contacts and consultants concerning QA issues

Ø Review error maps of clinical analysts

Ø Clearly articulate information to consultants, hospital contacts, supervisor, etc.

Administrative

Ø Set up meetings with hospital personnel for new installation which includes: scheduling, coordinating with appropriate contacts and arranging travel logistics

Ø Attend departmental meetings to remain current on issues and procedures

Education & Required Skills

Ø A formal education program after High School (LPN, RN) in Healthcare, nursing

Ø One to three year practical clinical hospital experience required in one of the following areas: med/surg, nursing, radiology, medical technology, physical therapy, pharmacy

Knowledge & Skills

Ø Overall understanding of medical industry and broad clinical expertise in one or more of the following: med/surg, nursing, radiology, medical technology, physical or occupational therapy, pharmacy

Ø Beginning to intermediate knowledge in error mapping and QAs; perform varying degree of tasks related to error mapping and QAs.

Ø Demonstrate organization and time management skills balancing multiple tasks and adapting to changing priorities

Ø Effectively communicate verbally and in writing to consultants, clients, supervisor, etc.

Ø Proven ability to research issues to the lowest level to secure answers and resolve issues decisively; advanced expertise in internet research sources, such as Google, ARUP, etc.

Ø Proven ability to excel in a fast-paced, deadline-oriented environment

Ø Enjoy working/learning in a technical environment; proficient in working with computers and data; ability to quickly learn new concepts

Ø Beginning to intermediate knowledge of various software products

For more information call 704-731-8009

ettain group - 16 months ago - save job - block
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