Job Description: Title: Prospective Chart ReviewerReports to: Manager, RA Prospective ProgramsFLSA: Non-ExemptCost Center: VariesLevel: Individual Contributor Position Summary: Prospective chart reviewers help to identify clinical alerts in a patients’ history that may support an underlying diagnosis. These alerts are presented to a provider on a point-of-care tool to use during an encounter. This allows the condition to be addressed by the clinician. Essential Job Functions: Performs pre-visit 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 Company’s 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 Skills and Abilities: 1. Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment 2. Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. 3. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. 4. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Essential Physical Functions: These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all the functions of the job with or without accommodation.
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Job Description: Title: Prospective Chart ReviewerReports to: Manager, RA Prospective ProgramsFLSA: Non-ExemptCost Center: VariesLevel: Individual Contributor Position Summary: Prospective chart reviewers help to identify clinical alerts in a patients’ history that may support an underlying diagnosis. These alerts are presented to a provider on a point-of-care tool to use during an encounter. This allows the condition to be addressed by the clinician. Essential Job Functions: Performs pre-visit 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 Company’s 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 Skills and Abilities: 1. Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment 2. Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. 3. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. 4. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Essential Physical Functions: These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all the functions of the job with or without accommodation.
