Clinical Operations Specialist
1 week ago
**Job Overview**
Solid Lyndelle Manpower Services Inc. is seeking an experienced Clinical Operations Specialist to join our team.
About the Role:
We are looking for a highly skilled Clinical Operations Specialist to work on-site, Monday to Friday. As a Clinical Operations Specialist, you will be responsible for performing regular audits of clinical practices, patient records, and healthcare processes.
Key Responsibilities:
- Perform regular audits of clinical practices, patient records, and healthcare processes.
- Analyze audit findings and data to identify trends, patterns, and areas of risk.
- Monitor the effectiveness of implemented changes and provide ongoing support.
- Ensure that the organization complies with all relevant regulatory requirements.
- Develop educational materials and resources to support ongoing staff development.
Requirements:
To be successful in this role, you will need:
- A Registered Nurse qualification with CIC/CCS certification.
- Prior auditing/DRG experience preferred.
- Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred.
- Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, ICD-10 CM & DRG Expert, etc.
- Practical clinical experience working in a hospital/office or nursing home.
- General knowledge of medical procedures, conditions, illnesses, and treatment practices.
- Excellent written and verbal communication skills.
- Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency.
- Excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc.
What We Offer:
We offer a competitive salary range of $50,000-$90,000 per year, depending on experience.
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