Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Overview
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice.
As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country.
We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees.
By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices.
Subject to employee eligibility, some benefits, tools and resources include :
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned
orders, 485’s, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
Education and experience, preferred
Six months experience in medical records in a health care office is highly preferred.
Requirements*
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner.
We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic.
At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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Last updated : 2024-04-06
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