Clinical Record Reviewer- Medical Compliance
Responsible for assisting with the assurance of compliance with external and department standards regarding case records. Facilitate the promotion of effective, efficient delivery of services via conducting Root Cause Analyses of Sentinel events, review & analysis of data related to chart reviews & consultation with program staff. Routine and non-routine chart reviews, including special investigations & to ensure standards. Use electronic health records to monitor compliance. Meet with staff to review findings and improvements.
Knowledge of the following
* Department case records standards, Medicaid and other third party payers.
*Electronic health records, knowledge of State and Local Human Rights policies and procedures. Assists in the processing of critical incident and complaints, and as needed with
*Mental health and substance abuse and intellectual disability services for adults and children. Experience working with computers, computer report and spreadsheets, monitoring and utilizing date.
Equal Opportunity Employer/ Drug Free Workplace