Job
Description
Role Overview: You will be working as a Medical / Clinical Reviewer in the Physical / Speech Therapist domain at All Care Therapies in Chennai, TN. Your primary responsibility will be to conduct pre-billing audits to ensure that all documentation and billing submissions adhere to insurance standards and regulatory requirements. This role is crucial in maintaining the financial integrity of the practice and ensuring timely reimbursement from insurance providers. Key Responsibilities: - Conduct comprehensive pre-billing audits on patient records to verify accurate documentation aligned with insurance guidelines. - Ensure accuracy, completeness, and compliance of therapy notes and coding with insurance and regulatory standards. - Collaborate with clinicians to identify and rectify discrepancies or errors in documentation and billing submissions. - Provide feedback to clinicians and administrative staff for documentation improvements and compliance requirements. - Stay updated on changes in insurance policies, billing codes, billing modifiers, and regulatory requirements related to therapy services. - Work with the billing department to resolve issues related to claims denials or rejections. - Prepare detailed reports on audit findings and recommend corrective actions as necessary. - Assist in developing and implementing internal policies and procedures related to billing and documentation standards. Qualifications: - Bachelor's degree in physical therapy, speech therapy, occupational therapy, or a related field; relevant work experience may be considered in lieu of a degree. - Previous experience in medical billing, coding, or auditing within a healthcare setting, preferably in therapy. - Certification in medical billing and coding (e.g., CPC, CCS, or equivalent) is preferred. - Strong knowledge of insurance billing practices, medical terminology, and regulatory standards in the US. - Excellent analytical skills and attention to detail. - Strong communication skills, with the ability to provide clear feedback and guidance to clinical and administrative staff. - Proficiency in using electronic health record (EHR) systems and billing software. (Note: Additional details about the company were not provided in the job description.) Role Overview: You will be working as a Medical / Clinical Reviewer in the Physical / Speech Therapist domain at All Care Therapies in Chennai, TN. Your primary responsibility will be to conduct pre-billing audits to ensure that all documentation and billing submissions adhere to insurance standards and regulatory requirements. This role is crucial in maintaining the financial integrity of the practice and ensuring timely reimbursement from insurance providers. Key Responsibilities: - Conduct comprehensive pre-billing audits on patient records to verify accurate documentation aligned with insurance guidelines. - Ensure accuracy, completeness, and compliance of therapy notes and coding with insurance and regulatory standards. - Collaborate with clinicians to identify and rectify discrepancies or errors in documentation and billing submissions. - Provide feedback to clinicians and administrative staff for documentation improvements and compliance requirements. - Stay updated on changes in insurance policies, billing codes, billing modifiers, and regulatory requirements related to therapy services. - Work with the billing department to resolve issues related to claims denials or rejections. - Prepare detailed reports on audit findings and recommend corrective actions as necessary. - Assist in developing and implementing internal policies and procedures related to billing and documentation standards. Qualifications: - Bachelor's degree in physical therapy, speech therapy, occupational therapy, or a related field; relevant work experience may be considered in lieu of a degree. - Previous experience in medical billing, coding, or auditing within a healthcare setting, preferably in therapy. - Certification in medical billing and coding (e.g., CPC, CCS, or equivalent) is preferred. - Strong knowledge of insurance billing practices, medical terminology, and regulatory standards in the US. - Excellent analytical skills and attention to detail. - Strong communication skills, with the ability to provide clear feedback and guidance to clinical and administrative staff. - Proficiency in using electronic health record (EHR) systems and billing software. (Note: Additional details about the company were not provided in the job description.)
