Company

CORA Physical TherapySee more

addressAddressLima, OH
type Form of workFull-Time
CategoryEducation/Training

Job description

 

Peer Reviewer

Ignite Your Career With CORA!

 

As a Peer Reviewer, you would conduct prospective and retrospective audits including medical record and claims reviews, for all payer types, for services provided at CORA. Our ideal candidate has industry knowledge, strong communication skills, and attention to detail.

Who We Are:

CORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to Treating Everyone Right.

 

What You'll Love About Us:

          Competitive Pay

          Medical, dental, vision, disability, and life insurance

          7 paid annual holidays + PTO that grows with time

          401k Retirement & savings plan

          Career growth opportunities within CORA

          Leadership development: coaching, mentorship, and skill-building activities

          Tuition reimbursement

 

What You'll Need: 

          Physical Therapist or Physical Therapist Assistant license (preferred) or Occupational Therapist/Occupational Therapist Assistant license

          Minimum of 2 years of experience as a PT/PTA or OT/COTA working in an outpatient therapy environment

          Ability to summarize findings and communicate key outcomes for company metrics

          Thorough understanding of billing and coding rules for therapy services

          Thorough comprehension of payer contracts and language defining care delivery

          Demonstrates effective verbal and written communication skills

          Demonstrates extreme focus and high attention to detail

          Ability to work independently and reliably to deliver goals with a sense of urgency

          Good interpersonal skills to interact with multi-level staff

          Ability to manage a high volume of projects and tasks

          Demonstrates ability to effectively utilize technology

          Proficiency in MS Office products including MS Word and MS Outlook

 

What You'll Do:

          Assist in maintaining compliance with local, state, and Federal regulations by executing the annual audit plan

          Review medical records to ensure they meet regulatory and/or payer requirements

          Provide feedback to clinical staff regarding auditing and monitoring findings with the goal of process improvement

          Assess the adequacy of internal control systems for billing and coding

          Properly document using auditing and monitoring tools and make recommendations for improvement based on results

          Participate in compliance auditing, data collection, and analysis

          Utilize assigned platforms for documenting audit results

          Communicate audit findings with multi-level leadership team

          Collaborate with billing team to ensure billing compliance for all payers

          Review of medical documentation resulting in approval or denial of further care

          Perform other duties as assigned

 

CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.

Refer code: 7908229. CORA Physical Therapy - The previous day - 2024-01-26 03:22

CORA Physical Therapy

Lima, OH
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