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Provider Education Support
0-4 years
Kolkata, Mumbai, New Delhi + 4 more
1 vacancy
Provider Education Support
Ventra Health
posted 1mon ago
Job Role Insights
Fixed timing
Key skills for the job
Job Description
- Create reports; routine monthly provider reports and special requests.
- Perform record reviews to identify documentation deficiencies or missed charges.
- Perform record reviews to address HM concurrency denials related to diagnosis coding.
- Support the Provider Education Specialists, Senior Provider Education Specialists, and Director with special projects.
- Maintain white paper library.
- Retrieve documents from client s systems for audit projects.
- Review documentation within anesthesia records to locate deficiencies, to include incidents, in clients to determine educational guidance that will be created for client.
- Create educational content for clients based on coding and billing guidelines.
- Perform compliance and coding audits to ensure accuracy within claim submission.
- Assist with completion of quarterly audits to include review of documentation to support billing standards and creation of content for discussion with clients.
- Perform continuous review of documentation received from newly onboarded clients/facilities within first 30 days. Generate educational guidance based on audit findings.
- Other duties as assigned by the Director, Senior Director of Provider Education, or Senior Provider Education Specialists.
- Certified Professional Coder (CPC) or equivalent required.
- At least four (4) years of coding experience and two (2) years of auditing experience.
- Degree in Healthcare Administration, Health Information Management, or related field or equivalent experience/training preferred.
- Knowledge of requirements of medical record documentation.
- knowledge of medical terminology and anatomy.
- Strong oral, written, and interpersonal communication skills.
- Strong decision-making skills.
- Strong problem-solving skills.
- Strong organizational skills.
- Strong time management skills.
- Ability to initiate and maintain professional relationships.
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
Employment Type: Full Time, Permanent
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