Clinical Document and Recertification Operations Lead
hace 3 días
**About the Role:**
Clinical document and recertification team lead plays a critical role in ensuring smooth operations of clinical documentation processes. The supervisor is responsible for evaluating and routing US-centric clinical documentation to the appropriate team, following up on online authorization requests, and managing outbound calling to patients to obtain correct caregiver information.
The ideal candidate will have two years of successful operations leadership experience in a private, public, government, or military environment. Knowledge of wound management principles, clinical documentation requirements, and medical terminology is desirable. Additionally, knowledge of US healthcare billing rules and regulations, as well as post-acute market knowledge, including home health agencies, skilled nursing facilities, and wound care centers, can be an asset.
Key Responsibilities:
- Evaluate and route incoming clinical documentation to the appropriate department
- Follow up on online authorization requests timely and escalate any anomalies
- Manage volume of outbound calling to patients to obtain correct caregiver information
- Evaluate staffing and work volume daily, adjusting assignments to meet service levels
- Monitor key production and quality reporting to ensure team is following processes
- Motivate, coach, and develop team members to achieve team metrics, forecasts, and goals
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US Clinical Documentation Team Lead
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