What are the responsibilities and job description for the Practice Administration Consultant position at Second Wave Delivery Systems, LLC?
As a Practice Administration Consultant, you will operate as the "boots on the ground" Care Team member for specified medical practices. You will be responsible for managing the end-to-end workflow to support the deployment and reconciliation of clinical documentation alerts. This includes, but is not limited to, liaising with providers and office staff, retrieving medical records, scanning, and uploading pertinent clinical documentation, responding to risk-adjustment inquires, and overseeing general provider education and engagement efforts.
Essential Duties and Responsibilities
- Operate as the primary contact for specified outpatient medical practices to ensure CDI Alert deployment & appropriate provider engagement.
- Navigate available EMR and paper systems to ensure the Care Team has the requisite patient clinical documentation on regular basis to support work efforts.
- Align with the Client Delivery Manager to ensure CDI Alert distribution and reconciliation protocol is followed in accordance with the established workflow and patient scheduling for the specified practice.
- Submit daily reports to the Care Team enabling effective management of CDI Alert deployment, response, medical record (re)reviews, and case closure.
- Actively assess program performance at the ground level and immediately notify the Care Team of challenges hindering success.
- Follow all coding and workflow guidelines specific to SWDS and the assigned medical practice under management.
- Respond to inquiries at the provider level pertaining to ICD-10-CM diagnoses that map to a Risk-Adjusted HCC for Medicare and Medicaid.
- Coordinate physician to physician education as needed.
- Participate in program and process improvement activities.
- Additional duties as necessary to meet the obligations to our clients.
Knowledge, Skills and Abilities
Location
Job Benefits
Qualification Requirements