• Reports to the Market Clinical Documentation Specialist Manager • Works collaboratively with medical, nursing and ancillary staff, case managers and coders • Improves accuracy, quality and completeness of clinical documentation • Performs initial and follow up reviews of selected patient accounts • Ensures accuracy and completeness of clinical information for quality services • Oversees clinical documentation patterns and trends • Educates members of the patient care team regarding clinical documentation needs • Develops and conducts education for new staff including case managers, coders, physicians, residents, nursing and allied health professionals • Compiles, analyzes, and evaluates quality and clinical data

**Your Mission:** - To write and edit complex medical writing deliverables (including informed consent forms, clinical study reports, clinical evaluation reports, CTD submissions) in accordance with sponsors’ and Excelya’s SOPs, guidelines and applicable legislation. - To coordinate cross-functional stakeholders and departments (including Clinical Operations, Biostatistics, Data Management, Regulatory Affairs, PV) to ensure the timely collection, review, alignment, and integration of scientific and clinical content required for the development of high-quality medical writing deliverables (including clinical study protocols, IBs, INDs). - To ensure the accuracy, consistency and regulatory compliance of all information, data and references included in the produced publications/documents, maintaining high standards of scientific quality. - To contribute to document quality control (reviewing data accuracy, formatting, appropriateness of language and compliance with industry guidelines). - To mentor and lead less experienced Medical Writers on complex projects, and to support the Principal Medical Writer with the coordination of other Medical Writers or Senior Medical Writers. - To liaise with sponsors to negotiate changes where necessary and ensure alignment on deliverables and expectations.

Role Description The Clinical Appeal Writer audits medical necessity justification for air transport evaluation and submission of all medical necessity appeals for government payors. They utilize clinical flight experience, established clinical standards and protocols, to validate air medical necessity and appeal payment denials. - Conducts audits of the medical necessity appeals for all payor sources in the role of advocate for the patient and GMR. - Ensures appeal timelines are met by moving the assigned book of business through the appeals process and updates appeals database. - Works with fixed deadlines and demonstrates willingness to meet and exceed performance metrics. - Works with the Appeal team to determine the best approach to each clinical denial in order to maximize claim reimbursement and minimize the financial risk to patients and GMR. - Maintains strict confidentiality of all protected health information and cooperates fully with all information security guidelines related to the scope of work. Qualifications - Minimum of five years in Emergency department (ED), Intensive Care Unit (ICU), flight or ambulance experience or job experience equivalent. - Supervisory/leadership experience preferred (i.e.: team leader, FTO, charge nurse, preceptor, educator, etc.). - Proficient in Word, Excel, Office 365. - Current RN licensure is required. - Bachelor’s degree in nursing or equivalent is preferred. - CFRN, CEN or CCRN is preferred. Requirements - Excellent written communication skills. - Ability to define and identify problems, collect data, establish facts, and draw valid conclusions. - Ability to respond to inquiries or complaints from customers in a positive and productive manner. - Ability to calculate numbers, correct entries, and post to records. - Ability to gather data from hospital and EMS charts, phone calls, emails, colleagues, and internet research, then compile information and prepare reports and letters. - Ability to use independent judgment and to manage and impart confidential information. - Ability to research local EMS protocols, hospital referrals, and standards of care. - Ability to review clinical charts and development of constructive feedback. Benefits - Hourly Compensation: $33.65 (this position is bonus eligible). - Work Schedule: Full Time.

• Performs concurrent analytical reviews of clinical and coding data to improve physician documentation for all conditions and treatments from point of entry to discharge. • Ensures an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. • Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines. • Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data.