Essential Job Functions:
Performs previsit medical record reviews to identify chronic conditions
reported in prior years
Identify diagnoses that lack supporting documentation
Prioritizes clinical alerts and presents those that are strongly suggestive of
an underlying condition
Present information to providers in a concise complete manner
All other duties as assigned
Other Job Functions:
Understand adhere to and implement the Companys policies and
procedures.
Provide excellent customer services skills including consistently displaying
awareness and sensitivity to the needs of internal and/or external
clients. Proactively ensuring that these needs are met or exceeded.
Take personal responsibility for personal growth including acquiring new
skills knowledge and information.
Engage in excellent communication which includes listening attentively
and speaking professionally.
Set and complete challenging goals.
Demonstrate attention to detail and accuracy in work product by meeting
productivity standards and maintaining a company standard of accuracy
Qualifications:
1. Minimum Experience
2 years of clinical experience required
Advanced level of clinical knowledge associated with chronic
disease states required
Relevant chart review experience required
2. Education/Licensure:
Medical Doctor or Nurse required
Coding Certification through AHIMA or AAPC preferred