Coordinator Clinical Audit Pharmacy DT

3 weeks ago


Naples, United States NCH Healthcare System Full time
DEPARTMENT: 17070 - Pharmacy DTLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Part TimeWORK SCHEDULE: 8 Hour Day

ABOUT NCH

NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.

NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.

Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.

JOB SUMMARY

The Clinical Audit Coordinator performs detail analytical audit studies to verify accuracy of patient accounts. Provides back up for the Emergency Room / Utilization Review Auditor as needed. Conducts exit interviews with commercial audits and provides technical support to senior management, as well as the training of various departments’ personnel. Is also responsible for daily transaction audit report and monitoring departmental posting of charges in an accurate and timely manner. Communicates with directors of areas to resolve deficiencies. Responsible for the daily late charge report. Knowledge of all Medicare requirements, which includes APC’s, in addition to working with Medicare HMO Auditors. Provide CPT codes and develops new charge numbers to increase reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES

– Other duties may be assigned.

· Commercial audits: pre-audit accounts requiring an audit to verify detailed bill.

· Concurrent audits: reviews daily charges for accuracy.

· Performs required third party payer audits prior to billing.

· Provides charge and procedure pricing upon request.

· Acts as liaison to Patient Advocate program for patient accounting issues relating to charges.

· Attends meeting and participates when appropriate.

· Performs additional functions as required as they relate to Admitting/ Registration responsibilities.

· Actively assists and supports departmental activities to ensure that operational and salary expenses are equal to or less than approved budget.

· Understands the principles and concepts of Performance Improvement. Looks for opportunities and solutions for process improvements and seeks to improve job skills.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

· High School Diploma or GED required.

· Minimum of 1 year of experience.

· RN with a current Florida License.

· Basic computer knowledge: ability to operate a PC, create/save/print documents, input data



  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 18076 - Security DTLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: VariableABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations...


  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 18076 - Security DTLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day $10,000.00 Sign On BonusABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in...


  • Naples, United States Keiser University Full time

    DESCRIPTION The Clinical Coordinator position plans, coordinates, facilitates, administers, and monitors, activities on behalf of the academic program and in coordination with academic and clinical faculty. These activities ensure the quality of our students learning experience during clinical education. Clinical Coordinators accomplish this...


  • Naples, United States NCH Healthcare - Naples Community Hospital Full time

    Summary We welcome and appreciate your interest in employment with the City of Corpus Christi. We are an equal opportunity employer; no information obtained during the recruitment/selection process is intended for any discriminatory purposes. Pay, Benefits, & Work Schedule Grade: 106 Salary: $10.50 - $17.22 Hourly (Dependent on...


  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 67516 - Concierge DowntownLOCATION: 311 9th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day$5,000 Sign on BonusABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities...


  • Naples, United States Pine Ridge Physicians Regional Full time

    ** Student Loan Repayment** Licensure and Certifications Reimbursement** Tuition Reimbursement It’s a very exciting time for Physicians Regional Healthcare System as we offer significant and new employees benefits!Physician’s Regional is a growing health care system that is known for our cardiac and orthopedic programs. You’ll be part of a team with...


  • Naples, United States Keiser University Full time

    The ASN Clinical Assistant position coordinates, facilitates, administers, and monitors activities on behalf of the academic program and in coordination with academic and clinical Course Lead faculty. These activities ensure the quality of the student learning experience during clinical education. The ASN Clinical Assistant accomplishes this through: •...


  • Naples, United States Collier Physicians Regional Medical Center Full time

    This is for a full-time Office Coordinator position in our Clinic. Interacts with the patient to ensure that the check-in and check-out is carried out efficiently. Answers questions about the facility's policies and services. Makes advance appointmen Office Assistant, Clinic, Office, Assistant, Healthcare, Business Services

  • RN Endoscopy DT

    3 days ago


    Naples, FL, United States NCH Healthcare - Naples Community Hospital Full time

    Summary We welcome and appreciate your interest in employment with the City of Corpus Christi. We are an equal opportunity employer; no information obtained during the recruitment/selection process is intended for any discriminatory purposes. Pay, Benefits, & Work Schedule Grade: 116 Salary: $17.11 - $28.04 Hourly (Dependent on...


  • Naples, United States Arthrex, Inc. Full time

    To coordinate projects related to Arthrex-sponsored clinical research activities Essential Duties and Responsibilities: Provide accurate status reports and updates of assigned clinical research projects Facilitate appropriate documentation to maintai Clinical Research, Clinical, Manager, Associate, Clinic, Manufacturing, Healthcare


  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 17031 - CardiologyLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Per DiemWORK SCHEDULE: 10 Hour DayABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations...


  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 17058 - Cardiac ImagingLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour DayABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations...


  • Naples, United States Pine Ridge Physicians Regional Health System Full time

    This is for a full-time Office Coordinator position in our Clinic. Interacts with the patient to ensure that the check-in and check-out is carried out efficiently. Answers questions about the facility's policies and services. Makes advance appointments and handles special requests. Issues invoices and collects fees. Performs administrative duties such as...


  • Naples, United States Pine Ridge Physicians Regional Full time

    This is for a full-time Office Coordinator position in our Clinic. Interacts with the patient to ensure that the check-in and check-out is carried out efficiently. Answers questions about the facility's policies and services. Makes advance appointments and handles special requests. Issues invoices and collects fees. Performs administrative duties such...

  • Clinical Supervisor

    3 weeks ago


    Naples, United States David Lawrence Centers Full time

    APPLY HERE: ~ SIGN-ON BONUS, RETENTION BONUS & TUITION REIMBURSEMENT PROGRAM ~Clinical Supervisor: MAT & Community Services [Position # 1139]A unique opportunity to provide impact from within our Crossroads Continuum as well as Community Services programs, this role drives DLC's ability to provides transformative and imperative services to those who have...

  • Medical Assistant

    1 month ago


    Naples, United States DNA Comprehensive Therapy Services Full time

    Job DescriptionJob DescriptionDescription:Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida – and we’re expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally.Our goal...


  • Naples, United States D4C Dental Brands Part time

    Join our team at Family Orthodontics of Naples as a Part-Time Orthodontic Treatment Coordinator, where you'll be instrumental in ensuring children achieve a lifetime of radiant smiles! If you're passionate about working with children and thrive in a supportive team environment dedicated to providing top-notch care, we'd love to hear from you! Our ideal...

  • LPN - Home Health

    16 hours ago


    Naples, United States Empath Health Full time

    The Home Health LPN: Provides nursing services in compliance with agency policy and procedure, state and federal regulations, and the patient’s plan of care under the direction and supervision of a Registered Nurse. Observes patients and report adverse reactions to medication or treatment to the Clinical Coordinator. Assists the Physician and/or...


  • Naples, United States Naples Orthopedics Inc Full time

    Job DescriptionJob DescriptionJob descriptionSchedule and co-ordinate surgery procedures between patient, physician and hospitalsResponsible for monitoring and maintaining and releasing block time.Discuss with patient pre operative and post operative instructionsCoordinate with implant sales representatives devices for surgeriesEnsure patient has proper...


  • Naples, United States NCH Healthcare System Full time

    DEPARTMENT: 18304 - StrategicLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour DayABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations...