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HealthPRO - Heritage Medical Review Specialist in Greenville, South Carolina

The Medical Review Specialist performs activities essential to ensuring that the medical documentation for Senior Living communities is properly signed by physicians and entered in the medical record timely. This position provides support to the licensed professionals to enable them to effectively perform their clinical duties and adhere to Regulatory Guidelines.

  • Maintains medical records of assigned communities as directed

  • Tracks current status of signed documentation on Medical Review Tracking Log daily

  • Secures physician signature and date on clinical documentation

  • Scans/uploads signed and dated documentation into EMR daily

  • Provides a written report to each Regional Vice President within the MRS area monthly, no later than the 28th of each month, regarding outstanding documentation for assigned communities

  • Communicates with Lead Medical Review Specialist regularly, at a minimum monthly, regarding any concerns or barriers

  • Maintains less than 10% outstanding documentation for assigned communities per quarter

  • Complies with company’s corporate compliance policies and procedures, including HIPAA

  • Performs other duties, as assigned

Supervisory Responsibility

• This position has no supervisory responsibilities.

Other Duties

Please note this job description is not designed to completely cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

  • Minimum of high school diploma or G.E.D. equivalent

  • Experience in medical records management preferred

  • Proficient in use/management of various software systems, scan/fax machines, Microsoft Office Suite with advanced knowledge of Microsoft Excel preferred

  • Excellent communication and interpersonal skills

  • Ability to work independently and organize time and tasks for maximum efficiency

  • Ability to understand and follow directions of licensed professionals

ctorres@healthpro-heritage.com

Requisition ID: 2020-38244

External Company Name: Healthpro Heritage, LLC

External Company URL: www.healthpro-heritage.com

Full Name: First Last: Cynthia Torres

Number: 256-859-8090

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