ECLAT Health Solutions
Based in Virginia with service on a global level, Eclat Health Solutions provides comprehensive healthcare support services that include medical coding and healthcare revenue cycle consulting. We work on the principle that hospitals and physicians’ practices require a partner who can reduce their administrative burden so that they can focus on delivering patient care. Our primary goal is to create a business relationship that is essentially symbiotic in nature – we will act as an extension of your team to help you meet and exceed your operational goals and to collaborate with you to successfully navigate the challenges of today. From large hospital facilities to small independent practice associations across North America, Europe, Australia and India, Eclat works with a variety of healthcare providers. Eclat is committed to delivering medical coding services and revenue cycle solutions that will help your healthcare facilities achieve the correct reimbursement in the quickest possible time while maintaining the most stringent HIPAA compliance with customer and patient data.
We are seeking a certified RN or MD with a CCDS or CDIP Certification for the clinical documentation role. Need to be open to working in either EPIC or Cerner where needed on the inpatient side to include DRG's.
+Minimum reviews: The total number of reviews in the WQs to be completed. This will include initial prebill reviews, follow up reviews with coding, and releasing claims. =For example, if there are 100 charts in the WQ and there are 6 team members: 16 reviews with the focus on opportunities to shift the DRGs, optimize the PDX, etc. +Clarification Rate: 45% based off of initial prebill review +Optimization Rate: 90%, based off of all reviews done
Have to be experienced and can focus on chart reviews, clarification submissions, in both prebill and concurrent spaces Productivity: Aiming for 28-32 per day new/rereviews For productivity, it will be based on the number of reviews each day in the WQs, with an optimization focus. The key will be optimization in a compliant manner which includes PDX review, missing secondary diagnoses that need coded, POA, and submission of clarifications when needed. Productivity will fluctuate but could also be used in a concurrent space with a focus on OB, Newborns and specialty areas such as Ortho, and Cardiology.
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