In this position, you will review all Medicare and other episodic payers clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
In this role, you will be responsible for management of clinical operations; avaluate their performance relative to job goals/requirements; coach staff and recommends in-service education programs and ensure adherence to internal policies/standards.
In this role, you will provide oversight of communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.
Responsible for management of clinical operations.Provide oversight for appropriate and compliant clinical episodic reimbursement.Participate in the recruitment, interviewing, selection, and orientation of team members.