Quality Assurance Specialist jobs at Regeneron - 2471 jobs

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers. NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts. The Quality Assurance (QA) Radiological Technologist position encompasses responsible, administrative and clinical activity of varying degrees of latitude. Clinical level judgement is needed in the daily supervision of radiological functions and patient care, and departmental projects. Responsibilities include: Review exam orders, consult with radiologist, schedule patients and arrange for transportation as indicated. Identify patient and document all information pertinent to final report in the RIS and on images (PACS). Prepare all patients (infants, children, adolescents, adults and geriatric) for radiological procedures requested by the clinician. Arrange for proper protection of patients, public and staff from infectious diseases/materials. Perform all general diagnostic imaging and routine examination in CT and Angiography. Assists in performing daily checks of radiographic imaging equipment, immobilization devices and other necessary accessories. Enters data and maintains documents and logs as required and mandated by the department QA guidelines and various regulatory agencies. Maintains adequate stocks of supplies and materials needed for use in the department. Checks equipment for defects prior for use and assures proper use of such equipment through instruction and review. Report any unexpected patient incidents in accordance with the occurrence report protocol. Maintain and exercise all mandated radiation safety regulations. Maintain basic care of all the imaging equipment. All malfunctions are to be reported to management staff whether mechanical, electrical or suspect and service request documentation completed. Maintain a clean and safe work environment for both patients and staff. Perform other duties as deemed necessary (by supervisory or administrative staff) in the event of emergencies or disasters. Continue professional growth and development of job-related skills on an ongoing basis. Participate in continuing education activities. Ensure all examinations are accessioned, documented and sent to PACS for reading. Monitor PACS and RIS incomplete worklists to ensure all exams are completed. In accordance with HIPAA (the Health Insurance Portability and Accountability Act), staff members will exercise due diligence in ensuring patient privacy and confidentiality. Identifies activities that the network has implemented to promote patient safety and takes all necessary precautions to ensure a safe environment for patients, visitors and staff. In addition to the Radiology Technologist job functions, the QA Technologists is responsible for the following: Organize and file maintenance reports for each building in regards to dentistry and radiology x-ray equipment and ensure dentistry and x-ray equipment follow the Department of Health codes, policies and procedures. Participates in quality assurance activities, including coordination, control and maintenance of technical equipment. Establish a daily/weekly/monthly quality control routine for monitoring, evaluating, and maintenance of X-ray equipment to ensure optimal performance and stability. Documenting and maintaining records for the quality control program in accordance with applicable regulations, legal requirements, accrediting agencies and recommendations from equipment manufacturers. Performs research and participates in special projects involving evaluation of equipment and delivery of service. Work with our radiologists to obtain updated documentation of primary diagnostic monitors. Distribute/collect dosimeter badges from each employee/facility that works with x-ray equipment. Recommends area assignment of personnel to coordinate activities within the department with other activities and services and represents the department in interdepartmental operations and meetings. May be assigned duties and responsibilities of X-ray Director in regards to radiology department workflow. Minimum Qualifications: Assignment Level III 1. For Supervisory Assignments: a valid license and current registration to practice Diagnostic Radiography as a Radiologic Technologist issued by the NYSDOH; and two (2) years of Radiologic Technologist experience performing duties consistent with Assignment Levels I and II, one (1) year of which must have been in a supervisory capacity. 2. For Specialized Imaging Assignments: a valid license and current registration to practice Diagnostic Radiography as a Radiologic Technologist issued by the NYSDOH; and possession of a current advanced- level certification for the performance of these procedures. NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs

The Quality Registered Nurse plays a vital role in advancing the hospital ' s journey toward the ANCC Pathway to Excellence designation. This position supports the development of a positive practice environment by leading quality improvement initiatives, promoting nursing excellence, and ensuring alignment with the six Pathway Standards: Shared Decision-Making, Leadership, Safety, Quality, Well-Being, and Professional Development. Lead and coordinate quality improvement projects that align with Pathway standards, focusing on patient safety, clinical outcomes, and nursing practice. Support shared governance structures by facilitating nurse-led councils and promoting frontline nurse involvement in decision-making. Monitor and report on nursing-sensitive indicators, including infection rates, falls, medication errors, and readmissions. Conduct audits and root cause analyses to identify opportunities for improvement and ensure compliance with evidence-based practices. Collaborate with nursing leadership to develop and implement strategies that foster a respectful, safe, and empowering work environment. Educate staff on Pathway standards, quality initiatives, and professional development opportunities. Assist in preparing documentation for the Pathway application, including narratives, outcome data, and survey coordination. Promote nurse well-being by supporting initiatives that address physical and mental health, recognition, and work-life balance. How This Role Supports Pathway to Excellence: The Pathway to Excellence designation requires hospitals to demonstrate excellence across six standards: [********************* Shared Decision-Making - Quality Nurses help facilitate nurse-led councils and shared governance. Leadership - They collaborate with nurse leaders to promote transparency, accountability, and mentorship. Safety - They lead initiatives to reduce harm and foster a respectful workplace. Quality - They monitor outcomes and drive continuous improvement. Well-Being - They support programs that promote nurse wellness and recognition. Professional Development - They help create learning opportunities and career advancement pathways. Requirements Bachelor's degree in Nursing (BSN) required, Master's preferred Minimum of 3-5 years of clinical experience in a hospital setting. Experience in quality improvement, patient safety, or nursing excellence programs preferred. Familiarity with ANCC Pathway to Excellence standards and survey process. Strong analytical, communication, and project management skills. Proficiency in data analysis tools and electronic health records. Registered Nurse (RN) with active New York State licensure.

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour

Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion JOB SUMMARY The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply. JOB SPECIFICATIONS Responsibilities/Duties Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions: Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods. Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133. Engage directly with people using substances, people experiencing homelessness and their communities. Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations. Build trust and rapport within priority communities to increase access to harm reduction resources. Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies. Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements. Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request. Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies. A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties. Other duties as assigned. EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work. SKILLS/EXPERIENCE Knowledge of substance use is highly required. Knowledge of the impact of drug use and overdose on communities of color in Philadelphia. Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations. Excellent oral communication skills. Ability to analyze and think critically to apply reasonable judgment and problem-solving skills. Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies. Excellent organizational skills. Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment. Ability to establish and maintain effective relationships with people contacted in the course of work. Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods. Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care. Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours. Travel: Local travel to multiple sites several times per week, as needed. Physical Demands: Ability to transport materials; walking for an extensive distance. Salary: $25 per hour Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include: Medical with vision benefits Dental insurance Flexible spending accounts Life, AD&D and long-term care insurance Short- and long-term disability insurance 403(b) Retirement Plan, with a company contribution Paid time off including vacation, sick, personal and holiday Employee Assistance Program Eligibility and participation are handled consistently with the plan documents and HFP policy. DISCLAIMER The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals. The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.

The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office. Essential Responsibilities: RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail. Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals. Partners with internal departments to resolve issues related to all tasks and assignments supporting the business. Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries. Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting. Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments. Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns. May be required to meet position related productivity and quality standards. Other duties as assigned. Requirements/Qualifications: Education Level: High School diploma or equivalent. Job related/Industry experience preferred. Excellent verbal and written communication skills. Excellent organizational and time management skills. Excellent problem solving/analysis collaboration. Self-motivated individual with strong attention to detail. Leadership experience preferred. Additional Details: Base Pay Range: $17.00 - 21.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) This position will be based on-site in our East Syracuse, NY office working a hybrid schedule of 4 days/week and 1 day remote. A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Clinical Documentation Specialist RN JOB OVERVIEW: The Clinical Documentation Specialist position facilitates accurate documentation for severity of illness and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, and nursing staff. Active participation in team meetings and education of staff in the documentation improvement process is a key role. DEPARTMENT: Health Information Management HOURS OF WORK: Days Monday - Friday. RESPONSIBLE TO: Manager, Clinical Documentation Improvement PREREQUISITES: * Current unrestricted WA State Registered Nurse license, required. * Bachelor's degree in Nursing, preferred. * Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review * Pass a pre-hire Clinical Exam with a minimum score of 70% * Effective communication with Providers QUALIFICATIONS: * Knowledge of hospital clinical practice standards for physicians and other health care providers. * Knowledge of ancillary service departments, quality control and safety standards. * Critical thinking, problem solving and deductive reasoning skills. * Familiarity with health care audit and research design. * Knowledge of Pathophysiology and Disease process. * Functional knowledge of DRG coding systems. * Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies. * Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities. * Meet productivity guidelines. * Ability to learn/develop the skills necessary to perform and meet goal standards * Organizational, analytical, writing, and interpersonal skills * Dependable, self-directed, and pleasant * Critical thinking, problem solving and deductive reasoning skills * Knowledge of Pathophysiology and Disease Process * Basic Computer skills - familiarity with Windows based software programs * Knowledge of regulatory environment * Understand and support documentation strategies (upon completion of training) * Knowledge of Core Measure and Patient Safety Indicators (upon completion of training) UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: A. Generic Job Functions: See Generic Job Description for Administrative Partner. B. Essential Responsibilities and Competencies * Reviews EMR for completeness and accuracy for severity of illness and quality using the documentation strategies. * Accurate and timely record review. * Recognize opportunities for documentation improvement. * Initiates severity worksheet for inpatients. * Formulate clinically credible documentation clarifications. * Request documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety. * Effective and appropriate communication with physicians. * Timely follow up on all cases and resolution of those with clinical documentation clarifications. * Communicates with HIM staff and resolves discrepancies. * Accurate input of data for reconciliation of case. * Provide necessary information and education to physicians and staff to facilitate the appropriate documentation goals. * Identify any barriers to completion of documentation goals with appropriate interventions. * Review of regulations and coding guidelines through seminars, meetings, and materials. * In cooperation with the director of PFS/HIM, present education sessions to physicians and other VMC providers regarding documentation regulations and chart audit findings. * Maintains confidentiality of all accessible patient financial or medical records information. * Demonstrates the awareness of the importance of cost containment for the department. Provide suggestions regarding process or quality improvement opportunities to department manager. * Other duties as assigned to facilitate accurate, timely patient account management. Date Created: 5/18, updated 7/22 Grade: NC11 FLSA: E Cost Center: 8490 Job Qualifications: PREREQUISITES: * Current unrestricted WA State Registered Nurse license, required. * Bachelor's degree in Nursing, preferred. * Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review * Pass a pre-hire Clinical Exam with a minimum score of 70% * Effective communication with Providers QUALIFICATIONS: * Knowledge of hospital clinical practice standards for physicians and other health care providers. * Knowledge of ancillary service departments, quality control and safety standards. * Critical thinking, problem solving and deductive reasoning skills. * Familiarity with health care audit and research design. * Knowledge of Pathophysiology and Disease process. * Functional knowledge of DRG coding systems. * Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies. * Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities. * Meet productivity guidelines. * Ability to learn/develop the skills necessary to perform and meet goal standards * Organizational, analytical, writing, and interpersonal skills * Dependable, self-directed, and pleasant * Critical thinking, problem solving and deductive reasoning skills * Knowledge of Pathophysiology and Disease Process * Basic Computer skills - familiarity with Windows based software programs * Knowledge of regulatory environment * Understand and support documentation strategies (upon completion of training) * Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)

Arrowhead Pharmaceuticals, Inc. (Nasdaq: ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead's RNAi-based therapeutics leverage this natural pathway of gene silencing. Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Arrowhead's corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI. Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. The Position The Clinical Quality Assurance Specialist will participate in the activities in support of the GCP and the Quality Assurance departments at Arrowhead to ensure compliance with GCP standards. This includes support in investigator audit programs, risk management plans, regulatory inspections, generating metrics for continuous improvement, and quality events while collaborating cross-functionally to uphold clinical trial quality and regulatory compliance. Key responsibilities include assisting in GCP Quality Event management (non-conformances, deviations, CAPAs, SCARs), contributing to risk-based audit planning, support in audits and inspections, procedural reviews and collaborating closely with the Clinical Operations team to ensure GCP compliance and data integrity. Responsibilities Develop and maintain clinical quality study risk plans and maintain updates in the Quality Management System (QMS). Collect site metrics for selection of investigator site audits while analyzing and reporting trends. Lead and participate in internal audits to identify gaps, ensure adherence to policies, and drive corrective actions. Assist with audit-related data entry in the QMS and documentation to maintain accurate and organized records and do develop dashboards for internal sharing. Conduct periodic reviews of SOPs to verify compliance with regulatory requirements and organizational standards. Support in the issuance, tracking and completion of deviations, SCARs (supplier corrective action requests) and CAPAs. Provide QA support for clinical study programs with GCP compliance, as needed. Assist during health authority inspections, including document management and logistical coordination. Support and contribute to risk management analysis efforts associated with GCP functions. Assist and/or support risk identification efforts at the asset / IP, therapeutic area, clinical study, clinical site, and vendor level. Communicate risk management mitigations and activities to the Manager Clinical Quality Assurance, Quality Assurance, and Clinical Operations and Development Teams. Facilitate ongoing quality improvement through communication of audit results and CAPAs Communicate any serious or critical compliance risks noted from these activities to senior management (manage report of Serious Breaches). Keep up to date with all related quality legislation and compliance issues. Requirements: Bachelor's degree in a science discipline is required. 3 years of relevant experience in a regulated environment with preference to quality assurance, auditing and/or GCP experience. 2 years of relevant experience in GxP function providing Quality and Compliance oversight. Requires occasional travel to other Arrowhead locations (San Diego, CA; Verona, WI; San Diego, CA) Preferred: Strong knowledge of GCP and Food & Drug Administration (FDA), European regulations and ICH guidelines. Prior experience with use of an electronic document management system in a regulated environment is preferred (Veeva). Knowledge of using Artificial Intelligence (AI) and/or building AI models (i.e., training dataset creation, validation, and reassessment) is beneficial. California pay range $80,000-$95,000 USD Arrowhead provides competitive salaries and an excellent benefit package. All applicants must have authorization to work in the US for a company. California Applicant Privacy Policy

The Clinical Quality Assurance Specialist will participate in the activities in support of the GCP and the Quality Assurance departments at Arrowhead to ensure compliance with GCP standards. This includes support in investigator audit programs, risk management plans, regulatory inspections, generating metrics for continuous improvement, and quality events while collaborating cross-functionally to uphold clinical trial quality and regulatory compliance. Key responsibilities include assisting in GCP Quality Event management (non-conformances, deviations, CAPAs, SCARs), contributing to risk-based audit planning, support in audits and inspections, procedural reviews and collaborating closely with the Clinical Operations team to ensure GCP compliance and data integrity. Responsibilities * Develop and maintain clinical quality study risk plans and maintain updates in the Quality Management System (QMS). * Collect site metrics for selection of investigator site audits while analyzing and reporting trends. * Lead and participate in internal audits to identify gaps, ensure adherence to policies, and drive corrective actions. * Assist with audit-related data entry in the QMS and documentation to maintain accurate and organized records and do develop dashboards for internal sharing. * Conduct periodic reviews of SOPs to verify compliance with regulatory requirements and organizational standards. * Support in the issuance, tracking and completion of deviations, SCARs (supplier corrective action requests) and CAPAs. * Provide QA support for clinical study programs with GCP compliance, as needed. * Assist during health authority inspections, including document management and logistical coordination. * Support and contribute to risk management analysis efforts associated with GCP functions. * Assist and/or support risk identification efforts at the asset / IP, therapeutic area, clinical study, clinical site, and vendor level. * Communicate risk management mitigations and activities to the Manager Clinical Quality Assurance, Quality Assurance, and Clinical Operations and Development Teams. * Facilitate ongoing quality improvement through communication of audit results and CAPAs * Communicate any serious or critical compliance risks noted from these activities to senior management (manage report of Serious Breaches). * Keep up to date with all related quality legislation and compliance issues. Requirements: * Bachelor's degree in a science discipline is required. * 3 years of relevant experience in a regulated environment with preference to quality assurance, auditing and/or GCP experience. * 2 years of relevant experience in GxP function providing Quality and Compliance oversight. * Requires occasional travel to other Arrowhead locations (San Diego, CA; Verona, WI; San Diego, CA) Preferred: * Strong knowledge of GCP and Food & Drug Administration (FDA), European regulations and ICH guidelines. * Prior experience with use of an electronic document management system in a regulated environment is preferred (Veeva). * Knowledge of using Artificial Intelligence (AI) and/or building AI models (i.e., training dataset creation, validation, and reassessment) is beneficial.

Job Description Arrowhead Pharmaceuticals, Inc. (Nasdaq: ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead's RNAi-based therapeutics leverage this natural pathway of gene silencing. Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Arrowhead's corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI. Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. The Position The Clinical Quality Assurance Specialist will participate in the activities in support of the GCP and the Quality Assurance departments at Arrowhead to ensure compliance with GCP standards. This includes support in investigator audit programs, risk management plans, regulatory inspections, generating metrics for continuous improvement, and quality events while collaborating cross-functionally to uphold clinical trial quality and regulatory compliance. Key responsibilities include assisting in GCP Quality Event management (non-conformances, deviations, CAPAs, SCARs), contributing to risk-based audit planning, support in audits and inspections, procedural reviews and collaborating closely with the Clinical Operations team to ensure GCP compliance and data integrity. Responsibilities Develop and maintain clinical quality study risk plans and maintain updates in the Quality Management System (QMS). Collect site metrics for selection of investigator site audits while analyzing and reporting trends. Lead and participate in internal audits to identify gaps, ensure adherence to policies, and drive corrective actions. Assist with audit-related data entry in the QMS and documentation to maintain accurate and organized records and do develop dashboards for internal sharing. Conduct periodic reviews of SOPs to verify compliance with regulatory requirements and organizational standards. Support in the issuance, tracking and completion of deviations, SCARs (supplier corrective action requests) and CAPAs. Provide QA support for clinical study programs with GCP compliance, as needed. Assist during health authority inspections, including document management and logistical coordination. Support and contribute to risk management analysis efforts associated with GCP functions. Assist and/or support risk identification efforts at the asset / IP, therapeutic area, clinical study, clinical site, and vendor level. Communicate risk management mitigations and activities to the Manager Clinical Quality Assurance, Quality Assurance, and Clinical Operations and Development Teams. Facilitate ongoing quality improvement through communication of audit results and CAPAs Communicate any serious or critical compliance risks noted from these activities to senior management (manage report of Serious Breaches). Keep up to date with all related quality legislation and compliance issues. Requirements: Bachelor's degree in a science discipline is required. 3 years of relevant experience in a regulated environment with preference to quality assurance, auditing and/or GCP experience. 2 years of relevant experience in GxP function providing Quality and Compliance oversight. Requires occasional travel to other Arrowhead locations (San Diego, CA; Verona, WI; San Diego, CA) Preferred: Strong knowledge of GCP and Food & Drug Administration (FDA), European regulations and ICH guidelines. Prior experience with use of an electronic document management system in a regulated environment is preferred (Veeva). Knowledge of using Artificial Intelligence (AI) and/or building AI models (i.e., training dataset creation, validation, and reassessment) is beneficial. California pay range $80,000-$95,000 USD Arrowhead provides competitive salaries and an excellent benefit package. All applicants must have authorization to work in the US for a company. California Applicant Privacy Policy

We are seeking a Quality Assurance Specialist to ensure our products and operations comply with all applicable U.S. federal, state, and local regulations. This role will play a critical part in bridging communication with our Korea HQ, overseeing product compliance, import documentation, product quality-related customer claims (VOC), and regulatory audits. You will be a key contributor in maintaining operational excellence in a fast-growing beauty retail environment. What Youll Do Review and approve product documentation for store onboarding, including ingredient lists and label compliance in accordance with U.S. regulations. Evaluate claims, marketing materials, and packaging to ensure regulatory accuracy. Manage and investigate product quality-related customer claims (VOC), and lead response efforts for product recalls or regulatory inquiries (e.g., FDA, state agencies). Ensure compliance of physical retail operations with local legal and regulatory standards. Provide training and guidance to store staff on compliance-related matters. Manage import documentation and respond to customs-related issues to ensure smooth clearance and delivery. Maintain regular communication with our Korea HQ regarding product specifications, documentation, and compliance updates. Establish, maintain, and enhance compliance policies in accordance with U.S. federal and state regulatory requirements. Monitor changes in product regulations (e.g., MoCRA, FD&C Act) and proactively recommend necessary updates. Review supplier audit documentation and conduct on-site inspections when necessary to ensure manufacturing practices meet quality and regulatory standards. Qualifications 5-10 years of experience in quality assurance, preferably in a U.S.-based beauty or personal care platform Bachelors degree or higher in a relevant field (e.g., Chemistry, Biotechnology, Life Sciences) In-depth understanding of U.S. and international regulatory frameworks (FDA, ISO standards, etc.) Strong analytical and problem-solving skills, with the ability to interpret complex regulatory requirements Preferred Qualifications Experience working in quality assurance roles at major U.S. beauty retailers or platforms Bilingual in English and Korean Experience with ISO 22716 certification or compliance (GMP for cosmetics) Familiarity with cross-border operations and global supply chain regulatory challenges

Salary Range:$60,000.00 To $80,000.00 Annually Summary of Primary Responsibilities: The Quality Assurance (QA) Compliance Specialist I performs compliance activities in support of production, engineering ensuring all activities are performed according to internal Quality System requirements, cGMP, FDA and ISO 13485 standards. Areas of responsibilities include receipt and review of documents such as charts, logs, batch records and approval of incoming materials for release. The position will provide floor support to production departments to include line clearances, in-process checks and assistance with investigations. The QA Compliance Specialist I performs quarterly audits support internal audits and participates in customer and regulatory audits as part of the Audit Team. Strategic Focus Area: Effectively collaborates with internal colleagues to meet corporate objectives and drive business results. Demonstrates business and regulatory knowledge. Specific Responsibilities: * Review and approve supplemental logs, charts and other documents in support of cGMP Operations. * Review batch records for accuracy and completion prior to final release of product. * Perform product releases specifically fills and intermediates lots. * Coordinate product releases with distributors and customers as needed. * Review and approve incoming materials for release. * Provide quality assurance support of investigations including: nonconformance and root cause analysis. * Perform quarterly walkthrough audits of manufacturing and packaging, complete audit activities as assigned. * Issue, review and reconcile batch records as needed. * Assist in the maintenance of the Quality System. * Participate in project teams and perform other related duties as assigned. Job Complexity: Assignments are defined by objective and required outcome. Exercises judgment within defined parameters and policies; expected to propose practice and policy improvements. Job requires maintenance of up to date knowledge of all applicable international regulation and regulatory guidance. Supervisor Responsibilities: None Required Qualifications: * Bachelor's Degree or equivalent experience * Medical device quality system management experience or an acceptable combination of education and experience will be considered. Internship experience may be considered. * Knowledge of GMP, FDA, ISO requirements. * Requires computer competence, including experience with database and Microsoft Office. * Excellent written and verbal communication skills. Desired Experience, Knowledge, and Skills: * Experience working in a GMP/ISO environment. * Good presentation and organization skills. * Attention to details. * Capable of executing tasks per defined policies and procedures to resolve routine issues. The salary range provided is based on the Company's reasonable estimate of the base salary pay range for this position at the time of posting. Actual base pay is determined by several factors relevant to the position, including skills, competencies, experience, education, and geographic location. Anika also offers a discretionary bonus program for all full-time employees, comprehensive healthcare benefits, health savings account, 401(k) plan with up to 5% company match which includes immediate vesting, employee stock purchase plan at a 15% discount, accrued paid time off, additional long-term incentives including stock awards, and much more. At Anika, we take pride in offering robust Total Rewards, inclusive of market-leading benefits to meet our employees where they are in their career and in life. The compensation and benefits information is provided as of the date of this posting. Anika reserves the right to modify compensation and benefits at any time, subject to applicable law. submit your resume We are an equal opportunity employer, and we do not tolerate discrimination based on characteristics such as age, gender, gender identity and expression, genetic status, sexual orientation, race, ethnicity, national origin, religion, disability, military status, family status, or any other protected category under federal, state, or local law.

We're searching for a Coding Quality Assurance Specialist II - someone who works well in a fast-paced setting. In this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider. Think you've got what it takes? Job Duties & Responsibilities • Assigns ICD-10-CM, ICD-10-PCS, and CPT codes. • Reviews and interprets documentation for appropriate diagnosis and procedures. • Communicates with and provides feedback to the education team and/or provider. • Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record. • Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. • Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing. • Queries physicians to obtain clarification or missing elements in the record preventing correct coding. • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials). • Assists other coders in resolving coding problems/questions. • Provides ICD-10 and CPT, for physician research projects, and reporting purposes. • Completes abstracts for records when appropriate. • Identifies problem accounts. • Corrects problem accounts. • Participates in education and maintains certification. • Assists in auditing records. • Maintains concurrent coding for inpatient records. Skills & Requirements • Required High School Diploma or GED • Required Licenses/Certifications o CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA) • Required 2 years' experience in coding **Outpatient, Professional coding experience in the following specialties HIGHLY DESIRED: General Surgery, Plastics, Oto and Ortho

We're looking for a Coding Quality Assurance Specialist III, someone who's ready to grow with our company. In this position you will assign and audit the accuracy of the ICD-10-CM and CPT patient charges for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation and completes the auditing reporting tool and provides this feedback to the education team and/or provider. Incumbent may perform only certain of the following Responsibility depending on their work assignment. Think you've got what it takes? Job Duties & Responsibilities • Assigns ICD-10-CM, CPT codes professional patient charges. • Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes. • Communicates with and provides feedback to the education team and/or providers. • Reviews patient charges to determine necessary coding to complete the account. • Identifies principle and secondary diagnoses and procedure codes from the electronic medical record. • Utilizes the encoder or coding books to generate ICD-10-CM, CPT codes for diagnosis and procedures. • Sequences diagnosis and procedures to generate appropriate billing. • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials). • Assists other coders in resolving coding problems. • Completes abstracts for records as appropriate. • Assists in correction of problem accounts. • Reviews charts for completeness. • Participates in education and maintains certification. • Assists in auditing records. • Maintains concurrent coding for professional charges. Skills & Requirements • Required High School Diploma or equivalent • Requires one of the following Licenses/Certifications o CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA) • Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record Previous professional general surgery patient coding experience highly desired

The Compliance/QA Specialist I performs various tasks that support the Compliance & Quality Assurance Department goals, objectives and functions to effectively prevent and detect violation of laws, regulations, policies or requirements. Supervisory Responsibilities: None Duties/Responsibilities: Perform routine and assigned audits, monitoring reviews and data collection using approved audit and monitoring instruments. Conduct demographic data entry (CalOMS Admission and Discharge) and/or corrections across behavioral health sites. Assist in the collection of charts and/or data for quarterly Drug Medi-Cal Utilization Review and other Utilization Review meetings and participates in meetings as assigned. Conduct behavioral health quality assurance chart audits. Perform behavioral health billing reconciliation tasks. Perform routine compliance activities, such as SBAT monitoring, exclusions screening, etc. in support of department goals. Maintain organized physical and electronic files and documentation of activities. Attend committee meetings, prepare meeting summaries as assigned. Other duties as may be assigned. Qualifications Required Skills/Abilities: Strong attention to detail. Reliability in attendance and assignments. Adherence to tight deadlines and ability to multi-task. Ability to critically think through problems and tasks, and conduct research to identify solutions and/or support decisions Ability to learn computer software programs (e.g. electronic health record systems, external portals, etc.) in order to perform job duties within 3 months of hire Strong display of agengy values: Compassion; Dedication; Integrity; Diversity. Basic knowledge of health care and social service systems. Knowledge of behavioral health documentation. Self-motivated; ability to work independently and with a team. Compliance with applicable federal, state, contract and agency regulations, policies and procedures regarding the privacy, confidentiality and release of patient and business information. Adherence to professional and ethical standards of conduct, and health and safety standards. Ability to display respect for cultural and lifestyle diversities of clients and staff. Education and Experience: Minimum 5 years' experience in behavioral health care field, preferably substance abuse. Bachelor's Degree in a health or human/social service or related field, or equivalent combination of education and experience. Experience and proficiency with MS Office Suite, especially WORD and Excel Physical Requirements: Following are the qualifications required to perform the essential functions of this position. Qualifications may be subject to modification based on the Americans with Disabilities Act. Vision, hearing, manual dexterity and eye-hand coordination must be adequate for performance of job duties. Able to sit at desk, use keyboard, write and physically perform other job duties. Prolonged periods of sitting at a desk and working on a computer. Able to move about the facility. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.

We're hunting for a Professional Ambulatory Clinical Documentation Specialist, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will be responsible for the reviewing, education, development, and training of our Physicians and staff as it relates to reimbursement and CPT and ICD coding compliance. Think you've got what it takes? Job Duties & Responsibilities • Develops and implements a method by which each TCPA & TCPSO physician has a representative sample of his/her medical records reviewed on a routine and frequent basis. • Provides feedback to physician and Director on the educational opportunities found from the reviews. Recommends improvement opportunities to documentation practices and coding changes to physician based on information. • Provides feedback to the Director on any Medicaid compliance issue found from the reviews. • Develops and implements training programs for Physicians, Front Office, and CBO staff to reinforce and/or change the documentation and coding behaviors found from the review. • Educates and reinforces the most appropriate documentation used to optimize quality and reimbursement that TCPA & TCPSO physicians utilize. Where appropriate, this should include education on coding guidelines were quality documentation is already present but not coded to the appropriate level • Focused on root cause identification and process improvement specific to documentation accuracy and completeness. • Engages in process and quality improvement initiatives. • Reviews and interprets the Federal Registry and other relevant publications on a current and regular basis to be aware of coding changes that may affect TCPA & TCPSO as well as the industry. • Responds directly to all telephone and written requests for documentation and coding information accurately and timely. • Acts as a risk adjustment documentation and coding resource, including education and physician engagement. Skills & Requirements • Required associate degree with a preferred bachelor's degree • Four years of healthcare experience will substitute for the required associate degree • Required Licenses and Certifications o CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) o CCDS DOC - Cert-Cert Clinical Doc. SPCLST Association of Clinical Documentation Improvement Specialist (ACDIS) o CDIP - Cert-Clinical Doc. Impr. PROF American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder American Academy of Professional Coders (AAPC) o CDEO Certified Documentation Expert Outpatient American Academy of Professional Coders (AAPC) o CCDS-O Certified Clinical Documentation Specialist Outpatient Association of Clinical Documentation Improvement Specialist (ACDIS) • Preferred Pediatric Experience

Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time. Why JPS? We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road: 1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence. 2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity. 3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS. When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you! For more information, visit ********************* To view all job vacancies, visit ********************* ***************************** or ******************** Job Title: Clinical Document Specialist Requisition Number: 43310 Employment Type: Full Time Division: HEALTH INFORMATION MANAGEMENT Compensation Type: Salaried Job Category: Nursing / LVN Hours Worked: 8:00AM - 5:00PM Location: John Peter Smith Hospital Shift Worked: Day Job Description: Description: The Clinical Documentation Specialist (CDS) is responsible for concurrently reviewing the medical records of hospitalized patients to facilitate the accurate and complete representation of severity of patient illness through provider documentation. This involves extensive record review, interaction with physicians, mid - levels, residents, nursing, ancillary staff, and coders. Typical Duties: * Identify new patient admissions and initiate review of documentation in the medical record utilizing clinical documentation software. Review documentation daily or at an interval appropriate to that patient's clinical picture. * Establish working Diagnosis - Related Group (DRG) based on assignment of International Classification of Disease (ICD) diagnosis and procedure codes. * Identify opportunities to impact case mix through documentation of complicating and comorbid, or major complicating and comorbid conditions and formulate a provider query based on query guidelines with timely provider follow-up. * Complete provider clarification queries per guidelines for instances in which documentation in the medical record is ambiguous, incomplete or conflicting and provide timely provider follow-up, as needed. * Attend medical staff department meetings and present current clinical documentation trends, findings and provide education on the impacts of clinical documentation. * Initiate Task Force meetings with the coding staff to discuss DRG assignment discrepancies and create participatory educational sessions regarding clinical conditions, documentation and coding. * Performs other related job duties as assigned. Qualifications: Required Education and Experience: * Associate's Degree in Nursing, Health Information Technology or a related field of study from an accredited college or university * 2 plus years of relevant work experience in a hospital setting * OR * High School Diploma * 2 plus years of relevant work experience in a hospital setting * Minimum 2 years of experience in CDI or a related field Preferred Education and Experience: * Bachelor's Degree in Nursing, Health Information Technology or a related field of study from an accredited college or university * 3 years of acute care clinical experience in a critical care or telemetry unit. Required Licensure/Certification/Specialized Training: * If applicable team members in this job that hold a professional licensure or credentialed must keep licensure and credentials current. Preferred Licensure/Certification/Specialized Training: * Current Clinical Documentation Specialist certification through the Association of Clinical Documentation Improvement Specialists (ACDIS) and /or Clinical documentation Improvement Practitioner through the American Health Information Management Association (AHIMA). * Current Medical Coding through AAPC, American Health Information Management Association (AHIMA) and/ or through an organization accredited by the National Commission for Certifying Agencies (NCAA) for Medical Coding. Location Address: 1500 S. Main Street Fort Worth, Texas, 76104 United States

We are seeking an analytical chemist with general laboratory experience including creation of standards/spiking mixes, sample preparation, and sample analysis as well as familiarity with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. The focus of this role will be on providing technical support to Signature Science's quality assurance (QA) contracts for defense and homeland security programs as well as commercial proficiency testing (PT) programs, including HazMat PT, hemp/cannabis PT, and custom PT programs. The successful candidate will also support internal Signature Science quality programs through maintenance of the quality management system and QA laboratory support. Essential Duties and Responsibilities: Assist with planning and implementation of chemical analysis proficiency tests for methods such as gas chromatograph mass spectrometry (GC/MS), Fourier transform infrared spectroscopy (FTIR), percent moisture determination, liquid chromatography with tandem mass spectrometry (LC-MS/MS), high performance liquid chromatography - ultraviolet (HPLC-UV), and Raman. Activities include developing proficiency test plans, performing laboratory pilot testing, preparing and verifying proficiency test samples, and packaging samples for shipment. Perform laboratory activities related to the preparation and verification of proficiency test samples, as detailed below: o Creation of standards/spiking mixes, o Sample creation, o Sample extraction/dilution, and sample analysis, using techniques such as GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and Raman. Maintain laboratory equipment and laboratory records. Perform laboratory inventories, purchase laboratory supplies, and maintain appropriate purchasing records. Evaluate special study and proficiency test data, identify data trends and other issues, and help prepare reports. Lead or assist with the validation and/or verification of new methods Contribute to the development and revision of internal and external quality documents based on ISO/IEC 17025, ISO/IEC 17043, ISO 17034, and Clinical Laboratory Improvement Program (CLIP) standards, as applicable. Perform internal audits of Signature Science systems and procedures against relevant internal or external standards such as ISO/IEC 17025, ISO/IEC 17043, and ISO 17034. Regularly communicate with internal laboratory staff to help resolve laboratory or other quality-related issues. Other activities may include: o Assisting client laboratories in preparing for external ISO/IEC 17025 accreditation audits and attend assessments as an advocate for the client laboratory o Communicating with external laboratory staff to help resolve QA, PT, or other quality-related issues o Providing feedback and help prepare auditee corrective actions packets for submission to the accreditation body or certification body o Providing ISO/IEC 17025 training or training on other quality topics to clients o May serve as a task leader on one or more projects Required Knowledge, Skills & Abilities: General chemistry laboratory experience (e.g., creation of standards/spiking mixes, sample extraction/dilution, and sample analysis). Knowledge of and/or experience with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. General quality management experience, preferably in an analytical laboratory setting. Proficiency in MS Word, MS Excel, and MS PowerPoint. Strong written and verbal communication skills. Proactive, self-starter Preferred knowledge, skills, and abilities include: Laboratory experience with GC/MS, FTIR, percent moisture determination, LC-MS/MS, HPLC-UV, and/or Raman analytical platforms. Experience assessing data for trends. Analytical laboratory auditing experience. Knowledge and experience with relevant quality standards, including ISO/IEC 17025, ISO/IEC 17043, ISO 17034, and/or CLIP. Ability to lead small teams and ensure accurate and timely submission of project deliverables. Education/Experience: Bachelor degree (or higher) in chemistry, biochemistry, or related field. At least 3 years experience performing analytical chemistry laboratory work Certificates and Licenses: None upon hire Clearance: Candidate must be able to obtain a Secret level security clearance. Supervisory Responsibilities: May serve as a task leader on one or more projects Working Conditions/ Equipment: Ability to work in varying conditions to include: traditional office environments with sedentary extended periods required for voluminous data analysis via office automation; Climate controlled laboratory environments requiring extended periods of standing when performing laboratory analyses, or during audits and SOP observation; Mobile laboratories, subject to wide ranges of temperature and humidity requiring extended periods of standing, stooping or kneeling in confined spaces; conference, classrooms or theaters that involve extended periods of standing for training delivery or command briefings; and outdoors in various weather and lighting conditions including heat, humidity, cold, snow, bright sun, and dark night. Exposure to various chemical and biological materials associated with an analytical lab or facility. Ability to wear required personal protective equipment (PPE) including gloves, coats or gowns, shoe cover, tyvek coveralls, safety glasses, respirators, and/or PAPRs. Subject to medical monitoring based on lab functions. The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Powered by ExactHire:190938

At WHA, we're a team, passionate about humanizing healthcare. We're inspired by the diverse stories, strength and resilience of our patients and the unique choices they make in pursuing health for themselves and their families. We envision a world where every person has the opportunity to achieve their optimal health and we're here to support that journey with personalized, culturally competent care and knowledge. The Coding Documentation Improvement Specialist focuses on ensuring that medical records and clinical documentation accurately reflect the care provided to patients. The primary purpose of the position is to enhance the quality and completeness of medical documentation to support accurate coding, billing, and compliance with regulatory requirements. ESSENTIAL JOB DUTIES • Review medical records to identify documentation gaps, inconsistencies, and opportunities for improvement. • Ensure provider documentation supports accurate code assignment for ICD-10, CPT, HCPCS coding systems. • Collaborate with coding staff to clarify diagnoses, procedures, and services to enhance claim accuracy and minimize denials. • Educate providers and clinical staff on best practices for documentation. • Deliver feedback to providers on documentation deficiencies and offer guidance for improvement. • Conduct training sessions on coding changes, payer requirements, and regulatory updates. • Perform prospective and retrospective medical record reviews to assess documentation quality. • Identify trends in documentation deficiencies and implement corrective action plans. • Assist in responding to external and internal coding audits and compliance reviews. • Ensure documentation aligns with CMS, Joint Commission, and payer regulations. • Stay updated on industry changes, including CPT and ICD-10 updates. • Support compliance initiatives by maintaining documentation integrity and reducing audit risks. • Work closely with Senior Revenue Cycle Manager, Compliance Manager, clinical leadership, and HIM to improve documentation workflows. • Act as a liaison between coders and providers to clarify medical record entries and coding concerns. • Assist in process improvement initiatives to enhance efficiency and accuracy in documentation practices. • Analyze coding and documentation trends to provide insights for operational improvements. • Utilize reports on provider documentation performance and compliance metrics. • Assist in optimizing revenue cycle performance through documentation enhancement strategies. Qualifications Education & Experience • Associate or bachelor's degree or relevant work experience. • 3+ years of experience in medical coding, documentation improvement, revenue cycle management, or healthcare compliance. • Experience with OBGYN, Behavioral Health, laboratory services, and Rural Health visit coding preferred. Additional Licenses, Certifications and/or Specialty Requirements: CPC, CPMA Required. COBCG and CCDS preferred. Significant experience within the EpicCare EHR system including Cadence and Resolute environments, as well as reporting functionality. A valid driver's license and access to a vehicle for occasional travel to clinical sites will be necessary for training, audits, or meetings with clinical staff.