Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Description
Job Schedule: Per DiemCardiovascular Invasive Specialist - RCES/RCIS
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Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
St. Vincent's Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent's is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network, and is the system's second-largest hospital.
Summary
This position is an integral member of the EP Lab team; providing quality support care during electrophysiology procedures.
Responsibilities
Qualifications
Knowledge, Skills and Ability Requirements
We take great care of careers.
Committed to nursing excellence, St. Vincent's Medical Center in Bridgeport is a twice-designated Magnet hospital. With more than 3,200 employees, it includes a 473-bed teaching hospital, a 76-bed inpatient psychiatric facility and special needs services for adults and children. St. Vincent's is also a Level 2 Trauma Center, certified by the American College of Surgeons, Committee on Trauma. Now part of Hartford HealthCare, it is the fastest growing hospital in the state providing more advanced surgical procedures and expanding access to care. A large provider group, comprised of the region's foremost experts, provides convenient patient access from Stamford to Milford and nearly everywhere in between. Founded in 1903, St. Vincent's remains steadfast in its mission to provide compassionate, personalized care to the community.
St. Vincent's Medical Center is part of Hartford HealthCare, a system that includes 7 acute care hospitals, a comprehensive Behavioral Health Network, Home Care services, Senior Services, and an extensive Medical Group network. Hartford HealthCare's unified culture enhances access, affordability, equity and excellence. Its care-delivery system of over 37,000 employees- in more than 500 locations serving 185 towns across Connecticut offers unparalleled expertise-touching more than 23,000 lives every single day. Here you'll learn, grow, and contribute to healing and health as part of one of Connecticut's premier health systems. No matter where you work in the Hartford HealthCare system, you're connected to the team that's redefining care. Start here, where every moment matters.
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