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 or coding experience required
· ICD 10 experience required
2. Education/Licensure:
· Medical Doctor / Physician
· Coding Certification through AHIMA or AAPC added advantage.
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