Medical / Clinical Reviewer - Physical / Speech Therapist

Job Title: Medical / Clinical Reviewer - Physical / Speech Therapist
Location: Chennai, TN
Positions Numbers: 8 Nos.
Position Type: Full-Time / Part-Time

Job Summary:
The Medical Reviewer will be responsible for conducting pre-billing audits to
ensure all documentation and billing submissions comply with insurance standards and
regulatory requirements. This role is critical in safeguarding the financial integrity of the practice
and ensuring timely reimbursement from insurance providers.

Key Responsibilities:

• Conduct comprehensive pre-billing audits on patient records to verify that services are documented accurately and align with insurance guidelines.
• Ensure all therapy notes and coding are accurate, complete, and in compliance with insurance and regulatory standards.
• Work with clinician to identify and rectify discrepancies or errors in documentation and billing submissions.
• Provide feedback to clinicians and administrative staff regarding documentation improvements and compliance requirements.
• Stay updated on changes in insurance policies, billing codes, billing modifiers and regulatory requirements affecting therapy services.
• Collaborate with the billing department to resolve any issues related to claims denials or rejections.
• Prepare detailed reports on audit findings and recommend corrective actions as needed.
• Assist in developing and implementing internal policies and procedures related to billing and documentation standards.