Audit & Medical Review Coordinator Job at EMPOWER, Richardson, TX

a3YrdDNsSjBDT1RvUEx0SWp5T0h3dE9yMUE9PQ==
  • EMPOWER
  • Richardson, TX

Job Description

About us:

At Empower, we are proud to serve as a one-stop-shop business partner for healthcare organizations to support their administrative and employer needs. We strive to be more than a workplace, but also a community, where every voice is heard and every team member is valued. Our team is driven by a shared mission to create a positive impact on healthcare organizations and the lives they touch. Join our team today to be part of our mission!

Job Summary:

Responsible for preparing, coordinating, and tracking all correspondence related to external audits and ADR’s. Responsible for the timely submission of ADR’s files and supplemental documentation, insuring they are received/accepted by the auditing organization. Support and equip Medical Review team members as needed.

Essential Functions:

  • Coordinates the tracking of all correspondence between external auditors and Empower Services partners.
  • Organizes and implements administrative systems and procedures.
  • Ability to provide an update regarding the status of Medical Record preparation and ADRs at every level of appeal.
  • Gather, Draft, edit and prepare records, correspondence, reports, and other material using word processing, spreadsheets and/or databases.
  • Prepares and maintains reports and tracking tools, reviews complex documents, reports etc. keeping them up to date and available to the leadership team.
  • Maintains access to e-services and other websites/software such as WayStar, required to obtain record and submit records to auditors.
  • May assist in assembling and auditing records.
  • May communicate audit results to management
  • May assist in creating plans of action to correct deficiencies identified through the audit process.
  • Contributes to Empower Services and Compliance department goals by accomplishing related duties as required.

Additional Responsibilities:

  • Performs other duties as assigned or requested.
  • Conforms to all applicable Agency policies and procedures.
  • Participates actively in continuing education and in-services.
  • Maintains confidentiality of patient information and business trade practices
  • Ability to effectively communicate with clinical and non-clinical employees.
  • Ability to perform and prioritize multiple functions or tasks

Knowledge / Skills / Abilities:

  • Organizational skills
  • Time management
  • Cooperative attitude
  • Advanced written and verbal interpersonal communication
  • Basic math skills related to patient care.
  • Self reliant, problem solver.
  • Excellent interpersonal, listening and customer service skills.
  • Ability to travel if needed.

Minimum Position Qualifications:

  • Education: 
    • Bachelor's degree in a related field
  • Experience: 
    • 1-3 years in audits and medical review, preferred.
    • 1-3 years in hospice or home health, preferred.

Environmental Conditions:

Ability to work flexible schedule, ability to travel locally. Moderate noise level; Office Setting

Physical Requirements: Sitting is required. Requires ability to always handle stressful situations in a calm and courteous manner. Requires working under some stressful conditions to meet deadlines and agency needs.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

Job Tags

Flexible hours,

Similar Jobs

Sky Dine, Inc.

Host Job at Sky Dine, Inc.

 ...environment ? Employee meals and discounts ? Opportunities for growth within the company ? Benefits include: ~ Dental ~ Vision ~ Aflac ~401k Equal Opportunity Sky Dine, Inc. seeks to attract, develop, and retain the highest quality of staff. Sky Dine,... 

Jackson Hewitt

Entry Level Tax Preparer Job at Jackson Hewitt

 ...potential to earn higher compensation by adding this side gig - or growing a new career - at Jackson Hewitt. As an Entry Level Tax Preparer in Walmart, you will: Work within one of our Walmart kiosk locations Prepare tax returns and assist clients via one... 

Hire it People, Inc

Help Desk Analyst Job at Hire it People, Inc

Job Seekers, Please send resumes to ****@*****.*** Job Details: We are seeking a motivated and detail-oriented contractor to provide application support to our users. Training will be given to provide CRM Dynamics 365 User Assistance. The ideal candidate...

General Dynamics Information Technology

Aegis Ballistic Missile Defense (BMDO) Trainer Job at General Dynamics Information Technology

 ...Defenses mission to keep our country safe and secure. Job Description Aegis Ballistic Missile Defense (BMDO) Trainer at Aegis Training and Readiness Center HOW A TRAINING SPECIALIST WILL MAKE AN IMPACT: Develops; organizes; and conducts training and... 

Carthage College

Sports management: Networking in the Twin Cities Job at Carthage College

Carthage graduate students traveled to the Twin Cities in early January to expand their knowledge of sports management, visit the City of Baseball Museum, and meet with sports business professionals from the Minnesota Wild, Minnesota Twins, Minnesota United FC, and St....