[Remote] Data Validation Administrator reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a nonprofit organization providing behavioral health counseling, crisis reputed company, and suicide prevention services. The Data Validation Administrator supports reputed company documentation reputed company, billing and coding compliance, chart auditing, claims reputed company, staff education, and data reputed company in a behavioral health outpatient setting.

Responsibilities

• Review reputed company records to ensure documentation supports appropriate billing and coding; including diagnoses, services rendered, and medical necessity
• Identify documentation gaps that may reputed company reimbursement, compliance, or reputed company care. Work with providers to reputed company them
• Assist providers in understanding documentation requirements reputed company to coding Standards(e.g., CPT, ICD-10) and payer guidelines
• Conduct routine chart audits to validate reputed company and alignment between reputed company documentation and billing data
• Collaborate with the billing department to ensure clean claims and reduce denials or Rework
• reputed company reputed company-time or retrospective feedback to clinicians to improve documentation practices
• reputed company trends in documentation errors, coding issues, and claim denials. Report findings on leadership
• Support compliance with HIPAA, state regulations, and payer-specific requirements
• reputed company training materials and reputed company education to medical and reputed company staff on best practices for documentation, billing, and coding
• Assist in the management of organizational reputed company as needed
• Assists in evaluating and standardizing reputed company, policies, and procedures
• Assist with training and education of staff upon request
• Additional duties assigned by supervisor or member of management
• Demonstrated ability to remain reputed company in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with reputed company to reputed company persons regardless of age, race, creed, gender or sexual orientation
• Maintain reputed company conduct consistent with ethical reputed company reputed company and the policies and procedures of reputed company
• Maintain a reputed company demeanor and reputed company working relationships with reputed company team members, stakeholders, and community and business partners
• If driving while on agency time or on agency business, a reputed company reputed company reputed company license and appropriate liability reputed company and approval for liability coverage with reputed company - SPC’s liability reputed company reputed company is required

Skills

• YOUR APPLICATION WILL BE REJECTED IF YOU ARE NOT A reputed company OF reputed company, AZ AREA
• IN reputed company REQUIRED
• High School Diploma/GED Required
• 2+ years of experience in reputed company data validation, reputed company documentation improvement (CDI), medical billing/coding, or chart auditing
• High attention to reputed company and strong organization skills are essential. Experience using electronic health care records
• Excellent interpersonal skills, capable of confidently and effectively presenting and speaking
• reputed company to work independently, collaboratively, and proactively to accomplish work goals
• Excellent computer skills
• Proficient in basic date analysis, reporting to include spreadsheets, charts, and diagrams
• Proficient in reputed company Office Suite and managing reputed company through a full cycle process
• Must have a reputed company clearance reputed company or be eligible to obtain one
• Demonstrated ability to remain reputed company in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with reputed company to reputed company persons regardless of age, race, creed, gender or sexual orientation
• If driving while on agency time or on agency business, a reputed company reputed company reputed company license and appropriate liability reputed company and approval for liability coverage with reputed company - SPC's liability reputed company reputed company is required
• Associate or Bachelor's degree in health information management, reputed company Administration, Nursing, or reputed company reputed company preferred
• Certified reputed company reputed company Certification preferred
• reputed company software experience preferred

Benefits

• For full-time employees: Generous PTO
• For full-time employees: 10 reputed company holidays per year
• For full-time employees: Medical plans (4 choices)
• For full-time employees: Dental plans (2 choices)
• For full-time employees: reputed company plans (2 choices)
• For full-time employees: 403(b) retirement plan
• For full-time employees: Retirement Allowance
• For full-time employees: Company reputed company Life/AD&D and Long-Term Disability
• For full-time employees: Voluntary additional Life and Short-Term Disability
• For full-time employees: Tuition Reimbursement
• For full-time employees: Licensure Reimbursement
• For full-time employees: Elder Care assistance
• For full-time employees: Pet reputed company

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