Clinical Review Specialist

Job OverviewThe Healthcare Specialist is responsible for conducting clinical review of cases not meeting criteria.Key Responsibilities:Clinical Review Nurses will conduct thorough clinical reviews of cases to ensure compliance with established guidelines and protocols.Develop and maintain knowledge of healthcare policies, procedures, and regulations to...

Job TitleClinical Documentation SpecialistAbout the RoleThis position is designed to support clinicians by freeing them from documentation responsibilities. By providing real-time scribing and accurate electronic health record entries, the Clinical Documentation Specialist ensures that records are complete, compliant, and ready for billing.The Impact You...

Clinical Data Validation Specialist Description: This position involves the manual review and validation of patient records to ensure accuracy and completeness. The ideal candidate will have a detail-oriented approach, strong clinical judgment, and the ability to work with both clinical and technical aspects of healthcare data. Responsibilities: Data...

Job Title: Clinical Coding SpecialistClinical Coding Specialists play a vital role in the healthcare industry by accurately assigning numerical codes to diagnoses, procedures, and treatments.

Job DescriptionA Medical Coding Specialist role involves conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for an automated claims editing solution. The clinical content could include additions, deletions, or updates to diagnosis codes, procedure codes, age...

Clinical Operations Specialist RoleWe are seeking a highly skilled Clinical Operations Specialist to join our team. In this role, you will serve as the key clinical operations representative for enterprise clients in assigned regions.Your primary focus will be on ensuring exceptional delivery of clinical services across onsite and virtual channels. You will...

Clinical Campaign Specialist - RemoteWe are seeking a seasoned operator to design and execute targeted outreach campaigns for clinical trial site activation.Key responsibilities include managing junior staff, crafting compelling written communication, and leveraging tools like ChatGPT and Google to identify and engage with healthcare professionals.Develop...

Healthcare Analyst Position Summary:We are seeking an experienced healthcare professional to support clinical and coding operations through accurate data analysis.The ideal candidate will have a strong understanding of HCC coding, RAF scoring, and ICD-10 coding standards, as well as experience working with healthcare data sets such as claims, EMR, and...

Pharmaceutical Quality Assurance Role OverviewJoin a forward-thinking organization that prioritizes quality and compliance in clinical research initiatives. As a Quality Assurance Specialist, you will play a pivotal role in shaping and maintaining quality standards across projects.Key ResponsibilitiesDevelop and implement comprehensive quality control...

Job DescriptionA professional working in this role delivers exceptional clinical services to enterprise clients. This position bridges client expectations with internal clinical standards and operational excellence, while fostering a collaborative environment that prioritizes patient care.The ideal candidate will manage clinician rosters, ensure services are...