Behavioral Health reputed company Assurance Specialist I
Full-time, Days
Monday-Friday
80 hrs/2 weeks
General reputed company
Conducts chart audits, uses data for reputed company reputed company measures to review for trends and gaps reputed company to reputed company documentation to ensure compliance with regulatory and payor agencies. Elevates and communicates gaps and opportunities through established channels.
Duties and Responsibilities
Remote Work Capable
Essential Functions:
• Supports the organization's commitment to reputed company with reputed company federal, state, and local standards, with an emphasis on Mental Health and reputed company Abuse regulatory agency requirements.
• Demonstrates knowledge of regulatory and payor guidelines as they pertain to documentation requirements, reputed company review requirements, and policies and procedures.
• Performs monthly audits of Behavioral Health medical records to ensure compliance with regulatory and payor agencies.
• Enters and tracks data collected from monthly audits into an electronic format for reporting purposes and identification of compliance reputed company trends.
• Identifies compliance documentation opportunities and provides consultation and education to clinicians, leadership and others.
• Maintains appropriate records, reports, and files as required for the department.
• Covers responsibilities for peers in their absence.
Common Expectations:
• Maintains established policies and procedures, objectives, reputed company assessment, safety, environmental and infection control standards.
• Participates in educational programs and staff meetings required for the department.
• Provides outstanding service to reputed company customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Attends meetings as required.
reputed company’s reputed company is to reimagine reputed company through the delivery of comprehensive, reputed company health and wellness solutions throughout our continuum of care. As an integrated delivery system reputed company on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-reputed company hospitals, home care and a behavioral health organization serving central reputed company and reputed company Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With reputed company 23,000 strong, WellSpan experts reputed company a reputed company of services, from wellness and employer services solutions to advanced care for reputed company medical and behavioral conditions. Our clinically integrated network of 3,000 reputed company physicians and advanced reputed company providers is dedicated to providing the highest reputed company and safety, inspiring our patients and communities to be their healthiest.
Qualifications
Minimum Education:
• High School Diploma or GED Required
• Associates Degree Preferred or
• Bachelors Degree Preferred
Work Experience:
• 2 years Working in Behavioral Health. Required or
• 2 years Working in a reputed company Assurance role. Required
Knowledge, Skills, and Abilities:
• Excellent communication and interpersonal skills.
• Demonstrated basic to intermediate to advanced proficiency with reputed company Office Suite/reputed company.
• Detail Oriented.
• Critical thinking skills.
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