Nurse Practitioner Coding Auditor Jobs in McKees Rocks, PA

GENERAL OVERVIEW:

Functions in an expanded role as a professional nurse practitioner at West Penn and Jefferson Regional Hospitals, performs acts of medical diagnosis or prescription of medical therapeutic or corrective measures in collaboration with and under the direction of a physician licensed to practice medicine.

ESSENTIAL RESPONSIBILITIES:

• Obtain, record, and interpret complete health history, including past medical history, obstetrical history, family history and psychosocial aspects. Perform comprehensive physical assessment of the newborn/neonate, order and interpret laboratory, radiographic, and clinical data when planning and documenting the course of management discussed with the attending Neonatologist. (20%)
• Perform diagnostic and therapeutic procedures necessary for the care of the patient per established protocols. Discriminate between normal, normal variations, and abnormal deviations by specific screening tests and refer patient with abnormal finding to appropriate healthcare services. (20%)
• Attend and provide coverage for high risk deliveries and stabilization of neonates, provide transport coverage for sick neonates as warranted per attending physician and appropriately initiates emergency evaluation and treatment. (20%)
• Coordinate plan of care within area of specialty, and coordinate discharge/transfers, including dictation of discharge and transfer summaries. (10%)
• Provide support, educate, and communicate with patient, family, interdisciplinary team, and community health services as appropriate. (10%)
• Participate in QA projects and NICU committees, and demonstrate effective leadership skills while contributing to Department, Division, and Hospital goals. (10%)
• Responsible for professional development. (10%)
• Perform other duties as assigned or required.

QUALIFICATIONS:

Minimum

• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
• MSN from the practicing State Board of Nursing Approved Master's Program.
• Certified Registered Nurse Practitioner (CRNP) License..
• Neonatal Resuscitation Program (NRP) Certification or Neonatal Resuscitation Program (NRP) Instructor Certification.

Preferred

• 1 year in Level III neonatal intensive care unit as CRNP.

Additional Employment Requirements:

• National board certified neonatal nurse practitioner (NCC National Certification Corporation). NCC Certification not required for Nurse Practitioners licensed prior to 02/07/2005.
• Drug Enforcement Agency Licensure within 60 days of hire.
• Prescriptive Authority within 60 days of hire.
• CPR - American Heart Association
• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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