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Healthcare

Document Review Specialist

Casper, WYOnsiteFull TimePosted 1 month agoVisa sponsorship available

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Required skills

  • medical records
  • chart notes
  • billing software
  • payer regulations
  • medical documentation
  • PC programs
  • data entry
  • typing
  • filing
  • basic math

Nice to have

  • process improvement
  • constructive criticism
  • high-pressure situations

Role summary

The Document Review Specialist reviews medical records and chart notes, ensuring accuracy and compliance with payer regulations. This role involves entering and maintaining records in the company's billing software, educating operational staff on compliance guidelines, and collaborating with audit teams. The specialist will research medical documentation to identify qualifying language and must be detail-oriented with excellent organizational and communication skills. Proficiency in PC programs, data entry, and medical terminology is essential.

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 Qualifications
  • 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
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