BS Physical Therapy
World Citi Colleges
- A registered Physical Therapist with 3 years of work experience in the CPO Industry, specializing in healthcare accounts.
- Adept knowledge in anatomy and medical terminologies backed by a US Healthcare background and proficiency with Electronic Health Record (EHR).
- Demonstrates strong verbal and written communication skills with great attention to details and highly adaptable, efficient work attitude.
World Citi Colleges
Review Skilled Nurse (SN), Physical (PT), and Occupational Therapy (OT) clinical notes to ensure documentation compliance with established clinical and regulatory guidelines.
Communicate with clinicians to clarify documentation, address discrepancies, and ensure all required information is accurately and thoroughly recorded for authorization and billing purposes.
Review and validate visit notes to confirm pertinent patient and provider information.
Identify and code diagnoses and conditions (ICD-10) accurately, focusing on those that map with Hierarchical Condition Categories (HCC).
Utilize Electronic Health Record (EHR) systems to manage patient records, ensuring confidentiality and data integrity.
Work closely with team members and supervisors to verify adherence to coding guidelines and ensure accuracy.
Evaluate patient clinical records extracted from EHRs to confirm eligibility for authorization and insurance claims based on predetermined insurance criteria.
Collaborate with healthcare providers to verify diagnoses (ICD-10), ensure accurate HCPCs coding, and address any missing or unclear clinical documents within the submitted files.
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Scheduling appointments, handling correspondence, and managing records.