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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.
Job Responsibility:
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
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
Requirements:
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
Medical Doctor / Physician
Coding Certification through AHIMA or AAPC added advantage