Document Review Specialist

externallincarecareers; Casper (WY); On-site; USD 38,000 - 45,000; Full time

Job summary

externallincarecareers is seeking a detail-oriented professional to review and enter medical chart notes into billing software, while staying current with payer guidelines to ensure compliant billing. You will collaborate with operational staff and audit teams, and you may provide backup coverage as needed.

The role requires independent work, excellent organizational skills, and strong communication, with the ability to research medical terminology and maintain accuracy in high-pressure

Qualifications

• High school diploma required.
• Proficiency with PC programs and data entry.
• Comfortable researching medical terminology.
• Understanding medical terminology.
• Strong communication skills.
• Detail-oriented with composure under pressure.
• Able to follow tasks to conclusion.

Responsibilities

• Review and evaluate chart notes.
• Timely and accurate entry of records into billing software.
• Become educated in payer qualifications and guidelines for service types to ensure billing compliance.
• Collaborate with operational personnel to ensure current qualifications are understood.
• Assist Central Audit Teams on audits related to medical records.
• Research medical documentation to understand scope of care and qualifying language.
• Work independently with strong organization; may back up others when needed.

Skills

Attention to detail

Communication

Organizational skills

Independent worker

Medical terminology literacy

Education

High School Diploma

Tools

Billing software

Data entry

PC proficiency

Job description

This employee reviews medical records obtained from customers, and enters and maintains chart note records within the company's billing software. They also communicate and/or educate operational staff on current qualifications to ensure compliance under payer regulations.

• Review and evaluate chart notes
• Timely and accurate entry of records into billing software
• Become educated in payer qualifications and guidelines on multiple types of services to ensure billing compliance is met
• Work with operational personnel to ensure accurate and current qualifications are understood
• Work with the Central Audit Teams on audits concerning medical records
• Research medical documentation to accurately understand the scope of care and identify qualifying language
• Able to work independently must be detail-oriented and have excellent organizational skills
• May serve as a backup when other employees are out

#CC

• High School Diploma
• General office skills such as proficiency in PC programs and data entry, typing, filing, and basic math are essential
• Comfortable researching medical terminology
• Understanding medical terminology
• Ability to convey a positive and professional image
• Excellent communication skills
• Detail-oriented
• Maintain composure in high-pressure situations
• Able to effectively provide and respond to constructive criticism
• Capable of following an issue through to conclusion
• Ability to prioritize issues/situations and respond accordingly
• Able to effectively interact with all levels of the Lincare organization as well as customers