Clinical Documentation Specialist

hace 3 horas


Alajuela, Alajuela, Costa Rica 3M A tiempo completo

Job Overview:

The Clinical Document and Recertification Team is responsible for evaluating and routing clinical documentation received to the appropriate team. This includes following up on insurance authorization requests, making outbound contacts to customers and patients as needed, and reviewing information about wound progression for patients on VAC therapy.

Key Responsibilities:

- Analyze and prioritize work
- Effectively use business and clinical data in accordance with 3M policies
- Meet production expectations based on department priorities
- Communicate internally and externally to obtain missing documentation required for placement and/or billing
- Conduct in-depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria

Requirements:

- High school diploma/GED or higher from an accredited institution?
- Two (2) years of experience in healthcare billing or back office support

Preferred Qualifications:

- Knowledge of Wound Management principles and Clinical Documentation requirements and medical terminology in general
- Knowledge of US Healthcare Billing rules and regulations
- Knowledge of post-acute market; including Home Health Agencies, Skilled Nursing Facilities, Wound Care Centers

About 3M:

3M offers a competitive salary and benefits package. Our approach to flexibility is called Work Your Way, which puts employees first and drives well-being in ways that enable 3M's business and performance goals. You have flexibility in where and when work gets done.



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