J - Prospective Chart Reviewers

Position Summary:

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 pointofcare tool to use during an encounter. This allows the condition to be addressed by the clinician.

Essential Job Functions:

Performs previsit 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.

Other Job Functions:

Understand adhere to and implement the Companys 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.

Qualifications:

1. Minimum Experience

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

2. Education/Licensure:

Medical Doctor / Physician

Coding Certification through AHIMA or AAPC added advantage.