Data Validation Administrator

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🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🖥️ Administration

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La Frontera EMPACT - Suicide Prevention Center

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

EMPACT – Suicide Prevention Center offers comprehensive crisis and community behavioral health services to children, adults, and families. We provide services in Maricopa and Pinal counties with offices located in Tempe, Phoenix, Glendale, Mesa, Apache Junction, San Tan Valley, and the City of Maricopa.

📋 Description

• Review patient records to ensure documentation supports appropriate billing and coding; including diagnoses, services rendered, and medical necessity. • Identify documentation gaps that may impact reimbursement, compliance, or patient care. Work with providers to resolve them. • Assist providers in understanding documentation requirements related to coding Standards (e.g., CPT, ICD-10) and payer guidelines. • Conduct routine chart audits to validate accuracy and alignment between clinical documentation and billing data. • Collaborate with the billing department to ensure clean claims and reduce denials or rework. • Provide real-time or retrospective feedback to clinicians to improve documentation practices • Track trends in documentation errors, coding issues, and claim denials. Report findings on leadership. • Support compliance with HIPAA, state regulations, and payer-specific requirements. • Develop training materials and provide education to medical and clinical staff on best practices for documentation, billing, and coding • Assist in the management of organizational projects as needed. • Assists in evaluating and standardizing operations, policies, and procedures. • Assist with training and education of staff upon request

🎯 Requirements

• Associate or Bachelor's degree in health information management, Healthcare Administration, Nursing, or related field preferred • High School Diploma/GED Required • Certified Professional Coder Certification preferred • 2+ years of experience in healthcare data validation, clinical documentation improvement (CDI), medical billing/coding, or chart auditing. • NextGen software experience preferred. • High attention to detail and strong organization skills are essential. • Experience using electronic health care records. • Excellent interpersonal skills, capable of confidently and effectively presenting and speaking. • Able to work independently, collaboratively, and proactively to accomplish work goals. • Excellent computer skills. • Proficient in basic data analysis, reporting to include spreadsheets, charts, and diagrams. • Proficient in Microsoft Office Suite and managing projects through a full cycle process. • Must have a Fingerprint clearance card or be eligible to obtain one.

🏖️ Benefits

• Generous PTO • 10 paid holidays per year • Medical plans (4 choices) • Dental plans (2 choices) • Vision plans (2 choices) • 403(b) retirement plan • Retirement Allowance • Company paid Life/AD&D and Long-Term Disability • Voluntary additional Life and Short-Term Disability • Tuition Reimbursement • Licensure Reimbursement • Elder Care assistance • Pet Insurance and much more!