Medicaid Specialist

Responsibilities

Newport News Behavioral Health Center is a 108 bed intensive and highly structured residential treatment for psychiatric and behavioral health needs of adolescent males and females ages 11-18yrs. Newport News has an on-site certified school, therapists, and vocational programming. Newport News, VA is a beautiful seaside city, rich in maritime history and conveniently located to DC and other major North Eastern cities.

Job Summary

Responsible for ensuring the content of the clinical notes pertaining to patient care, treatment, and services is in compliance with all licensing and DMAS regulations. Performs weekly audits on 100% of all open charts

concurrently to ensure that the medical records documentation meet the requirements of the regulatory agencies.

Primary Duties And Responsibilities

• Must be familiar with and have an understanding of Virginia DMAS regulations as they relate to Psychiatric Residential Services; regulations promulgated by CMS as they relate to patient care, treatment, and services.
• Performs weekly audits of 100% of all open charts concurrently to ensure that the medical records documentation meet the requirements of the regulatory agencies mentioned above.
• Reports regularly to the CEO and Health Information Director regarding the results of the audits, and prepare to disseminate this information to the appropriate Department Heads.
• Prepares in-services and educational programs necessary to ensure that all levels of direct-care staff are aware of the regulations and expectations of the above named organizations.
• Creates and implements a system to determine if the education or in-services provided are having an impact upon staff documentation.
• Participates directly in an audit of the organization by the above named agencies and assist with reviewing the findings to ensure validity, and developing actions plans.
• Creates a tracking system for the timely submission of clinical notes and report’s findings to Health Information Director and CEO.
• May be needed to code utilizing ICD-10-CM and CPT-4 Coding Guidelines.
  
  

Newport News Behavioral Health Offers Comprehensive Benefits Such As

• Challenging and rewarding work environment
• Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan
• Generous Paid Time Off 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its Subsidiaries
  
  

Qualifications

A Bachelor’s degree in Human Services or Business field is preferred and significant knowledge of Virginia Medicaid and previous experience in medical records and coding or billing is preferred. Must be a self starter with the ability to communicate effectively with other health care professionals, both verbally and in writing. Exceptional attention to detail needed.

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