Easter Seals Jobs

Description

The Claims Analyst will ct as liaison for clinicians as it pertains to clinical documentation and meeting county requirements.

• Become familiar with the behind the scenes billing processes for client hours in order to be able to problem solve when clinician records and billing records do not match.

• May be involved in completing and distributing monthly QA chart review notifications to clinicians.

• Will conduct quality reviews of all case psychotherapy records (at the opening, 6 month, annual and closing reviews).

• Will help to maintain and update the department record of reviews and completion of closed cases.

• Participate in group trainings on Medi-Cal documentation, funding sources, and other documentation, billing, and QA policies.

• May participate in the development and implementation of an Electronic Health Record system.

• Facilitate with the transition to electronic health records, which may include participation in development meetings and tasks, training, maintenance, and ongoing electronic record reviews.

• May be expected to attend weekly and off-site county meetings on QA-related topics.

• May be responsible for tracking and organizing transfer of charts between archive storage and administration office.

• Will perform other duties or projects as assigned by the QA Manager.

  Requirements

• Master's degree, license or license eligible clinician

• A minimum of two years providing psychotherapeutic services

• A minimum of two years experience with Medi-Cal documentation requirements and a record of good charting habits

• Ability to quickly learn other state and county charting requirements

• Well organized, flexible, and able to manage multiple priorities and shifting deadlines

• Must have the ability to work independently as well within a team environment

• Must be detail oriented

• Excellent verbal and written communication skills

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