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Healthcare Management Solutions, LLC
Healthcare Management Solutions, LLC
51 – 200 Xodimlar
HukumatKonsaltingSog‘liqni saqlash
Healthcare Management Solutions, LLC — Medicare va Medicaid xizmatlari markazlarini ham o‘z ichiga olgan federal va shtat idoralari, shuningdek notijorat sog‘liqni saqlash tashkilotlari bilan hamkorlik qiluvchi, AQShga yo‘naltirilgan sog‘liqni saqlash bo‘yicha konsalting va xizmatlar kompaniyasidir. Kompaniya 2002-yildan buyon sog‘liqni saqlash sifati, xavfsizligi, undan foydalanish imkoniyati va me’yoriy talablarga muvofiqlikka qaratilgan tashabbuslarni qo‘llab-quvvatlab keladi. Uning faoliyat yo‘nalishlariga tibbiyot muassasalarini tekshirish, shtat operatsiyalarini qo‘llab-quvvatlash, tibbiy sug‘urta marketplace’lari talablariga muvofiqlik, to‘lov modellari bo‘yicha loyihalar, tibbiy yozuvlarni ko‘rib chiqish hamda sog‘liqni saqlash axborot texnologiyalari yechimlari kiradi. Kompaniya xodimlarning egalik hissini va bosh hamda subpudratchi hamkorlar bilan hamkorlikni ham ta’kidlaydi, shu orqali davlat sektoridagi sog‘liqni saqlash, sog‘liqni saqlash operatsiyalari, konsalting va texnologiyaga qiziqadigan mutaxassislar uchun imkoniyatlar yaratadi.
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Kompaniyadagi ish o‘rinlari

Congenital Heart Surgery Database Reviewer - Remote

Healthcare Management Solutions seeks a remote clinical reviewer to audit congenital heart surgery registry submissions against medical records. The role focuses on validating STS data, documenting discrepancies, and supporting audit quality standards.

USAmerika Qo‘shma ShtatlariVAVirjiniyaWVG‘arbiy VirjiniyaMasofaviyYarim stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaTaqrizchiUmumiy

Tavsif

  • Audit clinical information submitted to the STS Congenital Heart Surgery Database against the corresponding medical records
  • Verify case eligibility, procedure codes, outcomes, and registry fields for accuracy and completeness
  • Record agreements, discrepancies, and possible data-quality issues in HMS audit systems
  • Examine operative reports, progress notes, diagnostic results, discharge summaries, and related documentation
  • Complete introductory and continuing reviewer training
  • Achieve defined productivity, quality, and inter-rater reliability targets
  • Route questions about data definitions, documentation meaning, or audit conclusions through the appropriate channels
  • Support adjudication and documentation reviews after sites respond to preliminary audit results
  • Prepare concise, professional explanations of audit decisions and the evidence supporting them
  • Protect confidential information and follow HMS security, privacy, and data-protection policies
  • Join team meetings and project calls as required
  • Handle additional assigned responsibilities

Talablar

  • Hold an RN, physician, physician assistant, nurse practitioner, perfusionist, or another clinical healthcare license
  • Have at least two years of recent experience in clinical practice, registry abstraction, quality improvement, or auditing
  • Demonstrated experience evaluating complex medical records
  • Strong knowledge of clinical documentation standards and medical terminology
  • Proficiency with Microsoft Office and electronic medical record systems
  • Ability to work independently in a remote setting
  • Strong analytical, organizational, and communication abilities
  • Ability to meet defined deadlines and quality expectations
  • Experience with the STS Congenital Heart Surgery Database is preferred
  • Prior registry auditing or data-validation experience is preferred
  • Experience in pediatric cardiology, congenital heart surgery, pediatric intensive care, cardiovascular surgery, or a related field is preferred
  • Familiarity with STS data definitions, abstraction guidance, and performance measures is preferred
  • Experience using Epic, Cerner, Meditech, or another major EMR platform is preferred
  • Experience interpreting operative reports and congenital cardiac procedure documentation is preferred
  • Knowledge of congenital cardiac anatomy, procedures, and terminology
  • Ability to interpret clinical documentation accurately and apply registry definitions
  • Ability to handle multiple assignments concurrently
  • Ability to quickly learn and use new audit tools, workflows, and guidelines

Imtiyozlar

  • Remote work arrangement
  • Part-time employment
  • Reviewer training opportunities
  • Equal opportunity employer
  • Affirmative action workplace
  • E-Verify-compliant workplace
  • Drug-free workplace

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