Encounter Support Center Specialist (Remote)

RestorixHealth ®
Irvine, CA Remote Full Time
POSTED ON 6/28/2022 CLOSED ON 9/12/2022

What are the responsibilities and job description for the Encounter Support Center Specialist (Remote) position at RestorixHealth ®?

Our mission is simple…to restore health and improve the quality of life – and access to care – for patients with wounds.RestorixHealth | AMT has high expectations for our team of professionals. We look for candidates with a strong work ethic, an outgoing attitude, good communication skills, high energy, the ability to work independently, and strong skills in selling and influencing decision-makers. RestorixHealth | AMT also wants candidates to be a good fit in the area of senior care, with a customer-centric approach and the clinical and professional expertise to make a significant contribution to both our customers and our company. Strengths in these RestorixHealth | AMT core values translates into excellent job performance and results in a successful career with RestorixHealth | AMT.What We Offer Monday-FridayComprehensive BenefitsMatching 401kUnlimited PTOFull array of benefitsJob Summary: The Audit Support Coordinator perform searches using key words and phrases that are often unique to the type of EMR system coupled with customization that has been done on the various EMR systems by clients. The Audit Support Coordinator development will include becoming a subject matter expert in several EMR systems by learning unique aspects of the systems that are specific AMTs chains and facilities.   Growth and development for Audit Support Coordinator team members includes training and education conducted by the clinical education team.     Primary Responsibilities: Pre-visit tasks include searching EMR records such as Census Reports, Payor Status/Insurance Reports, Order Listing Reports, Order Summary Reports and Event Summary Reports to identify and verify patients that are eligible for post-acute programs. Further, identifying wound/OUT sites that qualify for treatment will be performed by searching EMR records for Wound/Skin Reports, Wound Practitioner Group Evaluations, wound location, and OUT sites.   Visit tasks include sending visit summary and follow-up communications.   Post visit tasks include extracting visit documents supporting medical necessity, coordination of signature collections and backordered product and sending mid-month communications. Gathering medical necessity documents includes searching EMR records for documents that provide quality support for the appeals and audit function including Weekly Wound/Skin Evals, MD/NP/Staff Progress Notes, Standing Orders, History & Physical, MARs, TARs, Face sheets, Wound sheets, and Care Plan Notes.   Perform audits of the organizations functional business areas for performance and operational processes, assessing compliance and applicable standards and guidelines reviewing medical and internal documents to complete audits processes. Work with the Audit teams by reviewing documentations for accuracy.  RestorixHealth | AMT is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status or marital status.

Salary : $0

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