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Client Service Specialist Jobs
Company | Corridor |
Address | , Remote |
Employment type | |
Salary | |
Expires | 2023-06-27 |
Posted at | 1 year ago |
Client Service Specialist
Position Summary: Leads a small team of coders for a specific client or several clients using a specific ICD coding/OASIS review workflow process. Activities will include, but are not limited to, assisting in establishing and maintaining company and agencies workflow processes related to coding activities, ensuring productivity measures are being met, resolving disputes with agencies as needed, and working with any external coding teams to ensure standardization of processes. The employee must be able to function with a high degree of independence and considerable discretion. Reports to Client Service Manager or other designated leadership as needed.
Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned.
- Conducts quality assurance documentation reviews of assigned records
- Plan of treatment review for accurate reflection of patient’s condition and skilled interventions
- Medication profile for relevance to interventions, goals and coding sequencing
- Appropriate physician’s orders
- OASIS for documentation inconsistencies and accuracy
- Care planning as it relates to assessment and regulatory requirements
- Conducts other clinical record audits as assigned
- Develops and maintains knowledge of software systems utilized by various agencies
- Provides written feedback related to documentation and coding
- Maintains proficiency/knowledge of OASIS Data set items, home care reimbursement and compliance as related to OASIS regulations and requirements
- Conducts reviews of coding and provide recommendations for appropriate coding based on current coding guidelines
- Excellent verbal and written communication skills, and ability to relate well in remote environment under the supervision of coding managers
- Participates in special projects, coding meetings and educational sessions as needed.
- Maintains Coding Certification
- Identifies and communicates, concerns, trends, ideas, and possible solutions to improve processes/procedures to his/her supervisor
- Assist in orientation and training of new employees and promoted employees to ensure assimilation and success into their role and expectations.
- Provides effective performance feedback through employee recognition and disciplinary action with the assistance of Coding Manager and Human Resources, when necessary
- Leads team
- Establishes professional and positive work environments by modeling respect, dignity and support toward all employees and acknowledging the value of individual’s effort and contributions.
- Assist in orientation and training of new employees and promoted employees to ensure assimilation and success into their role and expectations.
- Leads employees to meet the organization’s expectations for productivity
- Provides effective performance feedback through employee recognition and disciplinary action with the assistance of Coding Manager and Human Resources, when necessary
- Establishes professional and positive work environments by modeling respect, dignity and support toward all employees and acknowledging the value of individual’s effort and contributions.
- Leads employees to meet the organization’s expectations for productivity
- Participates in client discussions as required
- Proactively identifies and assists with client concerns. Coordinates needs with Client Service Manager and Client Service team including assistance from Education and Support teams.
- Ensures excellent ongoing client relationships
- Proactively identifies and assists with client concerns. Coordinates needs with Client Service Manager and Client Service team including assistance from Education and Support teams.
- Participates in client discussions as required
- Works collaboratively with Education and Support team to ensure appropriate tools and resources are provided to their internal teams and extended to global partner teams.
- Ensures excellent delivery and quality to clients
- Works with Client Service Managers and Coder/Documentation Reviewers relating to quality support plans.
- Works collaboratively with Education and Support team to ensure appropriate tools and resources are provided to their internal teams and extended to global partner teams.
- Escalates issues or concerns and provides solutions to Client Service Manager for visibility and when intervention and support is needed with teams or clients.
- Monitors Coder/Documentation Reviewers productivity and quality to ensure each person is meeting capacity needs & expectations consistently.
- Investigates queries submitted by Coders/Documentation Reviewers and collaborates with agencies on appropriate resolutions.
- Monitors Coder/Documentation Reviewers productivity and quality to ensure each person is meeting capacity needs & expectations consistently.
- Works with Client Service Managers and Coder/Documentation Reviewers relating to quality support plans.
- Escalates issues or concerns and provides solutions to Client Service Manager for visibility and when intervention and support is needed with teams or clients.
- Investigates queries submitted by Coders/Documentation Reviewers and collaborates with agencies on appropriate resolutions.
- Works with Global Services team to plan for staffing needs and areas where additional assistance can be utilized.
- Works directly with Client Services Managers to ensure staffing needs are appropriate including anticipating future needs.
- Identifies areas needing assistance within their own client portfolio and utilizing current team members to help as needed including working with Client Service Managers and Senior Managers of Client Services team to identify additional capacity assistance.
- Works collaboratively with management team to identify process and operational efficiencies that are scalable and benefits across teams and portfolios.
- Participates in the implementation process of a new agency to ensure scope and services are set up to be delivered as agreed upon.
- Manages and optimizes operations
- Recognizes opportunities to streamline processes to ensure consistency of expectations and delivery of client services across all of Coding Services.
- Identifies areas needing assistance within their own client portfolio and utilizing current team members to help as needed including working with Client Service Managers and Senior Managers of Client Services team to identify additional capacity assistance.
- Works directly with Client Services Managers to ensure staffing needs are appropriate including anticipating future needs.
- Works collaboratively with management team to identify process and operational efficiencies that are scalable and benefits across teams and portfolios.
- Works with Global Services team to plan for staffing needs and areas where additional assistance can be utilized.
- Participates in the implementation process of a new agency to ensure scope and services are set up to be delivered as agreed upon.
- Recognizes opportunities to streamline processes to ensure consistency of expectations and delivery of client services across all of Coding Services.
- Coordinates and provides coverage for colleagues’ absences and coordinates coverage for internal team absences.
- Participates in special projects, coding meetings and educational sessions as needed.
Competencies:
Adaptability - Demonstrates persistence and overcomes obstacles. Measures self against standard of excellence. Recognizes and acts on opportunities. Sets and achieves challenging goals. Takes calculated risks to accomplish goals.
Performance Coaching – Defines responsibilities and expectations; encourages training and development; gives performance feedback; motivates for increased results; recognizes contributions; sets goals and objectives
Communications - Exhibits good listening and comprehension. Expresses ideas and thoughts in written form. Expresses ideas and thoughts verbally. Keeps others adequately informed. Selects and uses appropriate communication methods.
Customer Service - Displays courtesy and sensitivity. Manages difficult or emotional customer situations. Meets commitments. Responds promptly to customer needs. Solicits customer feedback to improve service.
Dependability – Follows instructions. Keeps commitments. Meets attendance and punctuality guidelines. Responds to requests for service and assistance. Takes responsibility for own actions
Leadership – Exhibits confidence in self and others; Inspires respect and trust; motivates others to perform well; reacts well under pressure; shows courage to take action
Judgment – Displays willingness to make decisions; exhibits sound and accurate judgment; includes appropriate people in decision making process; makes timely decisions; supports and explains reasoning for decisions
Planning & Organization - Integrates changes smoothly. Plans for additional resources. Prioritizes and plans work activities. Sets goals and objectives. Uses time efficiently. Works in an organized manner
Problem Solving - Develops alternative solutions. Gathers and analyzes information skillfully. Identifies problems in a timely manner. Resolves problems in early stages. Works well in group problem solving situations.
Teamwork - Balances team and individual responsibilities. Contributes to building a positive team spirit. Exhibits objectivity and openness to others' views. Gives and welcomes feedback. Puts success of team above own interests.
Professionalism - Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follows through on commitments.
Project Management: Responsible for planning and overseeing his/her agency specific special projects to ensure they are completed in a timely fashion with appropriate communication to the stakeholders.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Experience:
- Previous Home Health and or Hospice operational experience highly recommended
- Coding and documentation review experience highly recommended
Education
Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
Certificates and Licenses:
- Clinical license and/or history in management preferred
- OASIS Credential (COS-C or equivalent) required
- Coding Credential (HCS-D or equivalent) required
Computer Skills:
Microsoft Office Applications – intermediate skill required.
Experience working with various electronic medical records is preferred
Language Ability:
Read, analyze and interpret complex documents. Respond effectively to sensitive inquiries. Write speeches and articles using innovative techniques. Make persuasive presentations on complex topics to management, public groups and/or boards of directors.
Mathematical Ability:
Work with mathematical concepts such as probability and statistical inference. Apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning Ability:
Define problems, collect data, establish facts and draw valid conclusions. Interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Supervisory Responsibilities: Directly supervises two or more employees in Coding Services. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
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