Completion of an accredited Medical Assistant program and current certification (CMA) from an accredited certifying body or Associate's or Bachelor's degree in a related field (e.g., Healthcare Administration, Medical Assisting).
Minimum 5 yrs experience in healthcare
Must be able to type 40 WPM
Knowledge of healthcare documentation to include medical, behavioral, and psychological terminology
Excellent verbal and written communication skills including, strong telephone etiquette and interpersonal skills
Ability to identify lab results and ancillary services
Ability to interpret medical documentation
Experience working in an Electronic Medical Record system
Knowledge of healthcare documentation and terminology
Ability to anticipate potential problems and explore solutions collaboratively
Demonstrates a coachable mindset and ability to remain focused
Proficiency in healthcare documentation and terminology
Excellent written, verbal, and interpersonal communication skills
Strong multitasking and teamwork skills
Ability to perform detailed work with a high degree of accuracy
Knowledge of CPT and ICD coding
Experience with traumatic brain injuries, neuropsychological testing, or behavioral health
Home health, Military or hospice care experience
Browsers such as Chrome, Edge, etc
Search engines such as Google, MSN, Yahoo etc
SharePoint
Common keyboard/computer commands
Proficiency with Microsoft Suite (Outlook, OneNote, WORD/Excel, Teams)
Previous experience with an EMR/HER system
Experience with a virtual learning platforms
Video conferencing platforms: Microsoft Teams, Zoom, WebEx
Responsibilities:
Conduct accurate and timely review of records
Evaluate and interpret order requests
Quality set-up of order request to aid Provider in exam review
Claims file review and identification of relevant evidence
Quality claims file bookmarking to aid Provider in exam review
Request clarification for errors and/or requests not meeting contractual requirements
Identify trends of new or changing order items
Participates in projects and team meetings
Perform detailed work with a high degree of accuracy
Maintains confidentiality of sensitive information