IHA’s Post

#ICD10, #CPT, and #HCPCS codes, along with #DRG and #EMCoding expertise. Highlight your knowledge of #Modifiers, #RevenueCodes, and #NCCI edits. Showcase your commitment to #HIPAACompliance and #MedicalNecessity in all coding processes. Proficiency in #InsurancePayer interactions and #ClaimsProcessing is essential. Demonstrate your understanding of #Reimbursement procedures, #CodingCompliance, and experience with #Audit processes. Be sure to mention your vigilance against #Upcoding and #Downcoding, and your mastery of #ProcedureCodes and #DiagnosisCodes. Adherence to #CodingGuidelines and #ClinicalDocumentation standards is crucial. Highlight your #MedicalRecordsManagement skills and familiarity with #BillableServices. Maintaining #CodingAccuracy and following #CodingStandards and #CodeSets is vital. Don't forget to include your knowledge of #MedicalTerminology and #EHR systems. Proficiency in #BillingSoftware and being #DetailOriented are key assets. Showcase your #AnalyticalSkills and ability to ensure #DataIntegrity. Experience with #DenialManagement, #AppealsProcessing, and #RevenueCycleManagement can set you apart. Emphasize your #PatientPrivacy commitment, #RegulatoryCompliance, and skills in #MedicalBilling. Demonstrate your ability to perform #CodingAudits and maintain #QualityAssurance. Highlight your #ProfessionalDevelopment in coding, #CertificationCredentials, and commitment to #ContinuousLearning. Show your ability to work with #CrossFunctionalTeams, manage #Workflows, and use #CodingSoftware efficiently. Being #ResultsDriven, #ProblemSolving, and #Efficient For more details call or message 8122913470

#ICD10, #CPT, and #HCPCS codes, along with #DRG and #EMCoding expertise. Highlight your knowledge of #Modifiers, #RevenueCodes, and #NCCI edits. Showcase your commitment to #HIPAACompliance and #MedicalNecessity in all coding processes. Proficiency in #InsurancePayer interactions and #ClaimsProcessing is essential. Demonstrate your understanding of #Reimbursement procedures, #CodingCompliance, and experience with #Audit processes. Be sure to mention your vigilance against #Upcoding and #Downcoding, and your mastery of #ProcedureCodes and #DiagnosisCodes. Adherence to #CodingGuidelines and #ClinicalDocumentation standards is crucial. Highlight your #MedicalRecordsManagement skills and familiarity with #BillableServices. Maintaining #CodingAccuracy and following #CodingStandards and #CodeSets is vital. Don't forget to include your knowledge of #MedicalTerminology and #EHR systems. Proficiency in #BillingSoftware and being #DetailOriented are key assets. Showcase your #AnalyticalSkills and ability to ensure #DataIntegrity. Experience with #DenialManagement, #AppealsProcessing, and #RevenueCycleManagement can set you apart. Emphasize your #PatientPrivacy commitment, #RegulatoryCompliance, and skills in #MedicalBilling. Demonstrate your ability to perform #CodingAudits and maintain #QualityAssurance. Highlight your #ProfessionalDevelopment in coding, #CertificationCredentials, and commitment to #ContinuousLearning. Show your ability to work with #CrossFunctionalTeams, manage #Workflows, and use #CodingSoftware efficiently. Being #ResultsDriven, #ProblemSolving, and #Efficient

🤔Wondering about how to analyze risk of medical software failure? 👇Check out this AMA article in Let's Talk Risk! (link in comments) ======================================= Like this post? Follow me Naveen Agarwal, Ph.D. and hit the 🔔 so you don't miss my posts. #riskmanagement #letstalkrisk #medicaldevices

I got to audit evaluation and management today for three hours and loved it!! I missed auditing so much. The ability to write up education based on the findings was the cherry on top! #evaluationandmanagement #medicalcoding #medicalcoder #auditing #providereducation

Computer System Validation (CSV) plays an important in Medical Devices Manufacturing! The importance of both, the Non Product Software Validation and the Product software Validation is immense in ensuring high quality Medical Devices. The CSV requires sound understanding of the manufacturing process, product quality and computer system aspects. AptSkill brings to you one of its kind, specialized course on Computer System Validation in Medical Devices Manufacturing Course Title: Essentials of Computer System Validation in Medical Devices Manufacturing Course Structure: 3 session and two assignments Cost: Rs 2499 DM Aakash Jindal to learn more and enroll #CSV #Validation #MedicalDevices

#hiring Coding Auditor, Orlando, United States, fulltime #jobs #jobseekers #careers #Orlandojobs #Floridajobs #ITCommunications Apply: https://lnkd.in/g_nX8gzR Description: The Why Behind Wellvana: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems. Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing. Named a Best Place to Work by Nashville Business Journal and featured in Insider's 33 startups investors expect to take off in 2023, we're one of the fastest-growing companies in America because what we do works.This is the way medicine is meant to be.Clarity on the Role:This remote auditing position will report directly to the Coding Audit Manager. This role requires the ability to perform ongoing internal quality assurance audits of in-house coders, providers, and outside vendors as assigned. These audits will be used to set companywide objectives/goals, identify deficiencies, and ensure compliance. The ideal candidate will be proficient at abstracting appropriate diagnosis from supporting documentation in the medical record as well as assuring that performance measures are being properly reported. These ongoing audits will be performed in order to assure that submitted ICD-10-CM codes are fully supported by the clinical documentation and are being coded to the highest specificity. Auditor will participate in various special projects stemming from results of previous audits and report any improvement or nonengagement. Initial audits of new practices will be assigned in order to determine how providers can best be supported. Auditor will analyze findings of completed audits to determine coding error trends and make recommendations for process improvements to prevent their reoccurrence. Must have up to date knowledge of quality performance measures and risk adjustment methodology.What's Expected:Use critical thinking skills to determine any deficiencies in provider documentation, proper coding, and performance reporting. Ability to abstract codes from claims data, diagnostic testing, labs, specialist, and hospital notes. Assure that all ICD 10 codes assigned are coded to the highest specificity and are supported in the medical record.Document clear, and accurate results based on current coding guidelines for any errors or omissions on audit spreadsheet, with particular focus on missed opportunities related to patient care. Record potential risk opportunities based on complete chart reviews, suspect reports, a

𝗢𝗯𝗷𝗲𝗰𝘁𝗶𝘃𝗲 Ensure that validators in the area of systematic validation for assessment meet the minimum TAE credential requirements as outlined in the SRTO 𝗞𝗲𝘆 𝗦𝘁𝗲𝗽𝘀 1. Validators must possess vocational competencies and current industry skills relevant to the unit of competency being assessed. 2. Validators must have the minimum TAE credentials, which include one of the following: --> Certificate IV in Training and Assessment (TAE40122). --> Certificate IV in Training and Assessment (TAE40116). --> Certificate IV in Training and Assessment (TAE40110) with one LLN unit (TAELLN411/TAELLN401A) & one design and develop assessment tools unit (TAEASS502/TAEASS502A/TAEASS502B). --> TAESS00011 Assessor Skill Set. --> TAESS00001 Assessor Skill Set with one design and develop assessment tools unit (TAEASS502/TAEASS502A/TAEASS502B). 3. Validators operating under a diploma or higher in adult education can undertake service delivery but must collaborate with a group to meet the minimum TAE credential requirements for validation. 4. Validation activities must be conducted by individuals or teams that collectively meet the minimum TAE credential requirements. 𝗖𝗮𝘂𝘁𝗶𝗼𝗻! ⚠ Validators must ensure that they meet the minimum TAE credential requirements to validate assessments effectively. ⚠ Failure to meet the minimum TAE credential requirements invalidates the validation process. 𝗧𝗶𝗽𝘀 𝗳𝗼𝗿 𝗘𝗳𝗳𝗶𝗰𝗶𝗲𝗻𝗰𝘆 ✅ Verify the TAE credentials of all validators before conducting validation activities. ✅ Encourage collaboration among validators to collectively meet the minimum TAE credential requirements. ✅ Stay updated on any changes or discrepancies in the SRTO to ensure compliance with validation requirements. 𝗠𝗼𝗿𝗲... https://lnkd.in/gbZbz26Z #VETQuickRead

Use a lean document management solution to build your eQMS and I promise your working life will be transformed! Here are just some of the joyous benefits you can look forward to: (and you’ll sleep at night again!)   🌀 Automated cycles of planning, execution and testing   For engineering specifications, a lean eQMS will ensure you’re planning acceptance criteria for your products at the same time. 🙅♂️ No more overprocessing   A lean eQMS system will support testing regimes with clear diagrams, videos and forms to fill out, so mistakes are minimised, evidence recorded, and nothing vital omitted.   ✅ Automates triggers for CAPA   Automated QC workflows with appropriate logs, notifications and reminders will make sure no issue ever falls through the cracks.    🔏 e-Signatures   Look for a Quality System that’s integrated with e-signatures so that QA and QC records can show exactly who signed off what, why and when.   This is more than a nice to have, it’s a requirement for medical device developers!   #lean #leanDMS #documentmanagement #eQMS #QMS #CAPA #QualityControl #QualityAssurance #QualityManagement

Computer System Validation (CSV) is a process used to ensure that computer systems used in regulated industries consistently produce results or outcomes that meet predetermined specifications and quality attributes. It involves a systematic approach to verifying and documenting that a computerized system is compliant with regulatory requirements, industry standards, and organizational policies throughout its lifecycle. CSV encompasses various activities such as planning, specification development, testing, documentation, and change control to ensure the integrity, reliability, and security of computer systems and the data they manage. #csv #quality #qualityassurance #validation #qualification #riskmanagement #computersystemvalidation #computerscience #rolesandresponsibilities

Do you know what revalidation is, if you don't know just follow me:- In Computerized System Validation (CSV), revalidation refers to the process of re-assessing and re-qualifying a system after significant changes or events that may impact its validated state. It ensures that the system continues to operate as intended and in compliance with regulatory requirements. Revalidation is often required in the following scenarios: 1. System Changes: If there are any updates to the software, hardware, or configurations, revalidation is necessary to ensure these changes do not affect the system's performance, data integrity, or compliance. 2. Process Changes: When there are significant changes in the business processes or workflows that interact with the computerized system, revalidation ensures these modifications are accurately reflected in the system's performance. 3. Regulatory or Compliance Updates: If new regulatory requirements or guidelines are introduced, revalidation is performed to ensure the system meets the updated standards. 4. Maintenance or Repairs: If critical repairs, maintenance, or migrations are made, revalidation checks that the system remains validated after these interventions. 5. Time-Based: Some systems may require periodic revalidation based on the organization's internal policies or risk assessments to ensure the continued validated state over time. Revalidation typically follows a similar process to the initial validation and includes updating documents such as user requirement specifications (URS), functional specifications (FS), validation protocols (IQ/OQ/PQ), and change control records. #CSV #Qualification #Validation #Revalidation #EIPICO