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Clinical Specialist , NC
Job
Carolina Therapy Services
Raleigh, NC (In Person)
Full-Time
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Job Description
Clinical Specialist , NC Carolina Therapy Services - 4.2 Raleigh, NC Job Details 13 hours ago Benefits AD&D insurance Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Vision insurance 401(k) matching Bereavement leave Life insurance Qualifications Appeals Healthcare industry recruitment Overseeing healthcare denial management Clinical skill development Health information compliance monitoring Healthcare documentation compliance audits Medical billing compliance checks Care documentation Mid-level Clinical staff training Case appeal in utilization management Clinical training Clinical staff mentoring Team training Clinical program monitoring Clinical staff recruitment Resource utilization in healthcare Physical rehabilitation occupational therapy Clinical documentation improvement Progress documentation Clinical documentation standards Insurance claims appeal handling Healthcare coding compliance audits Staff development Clinical program staff coordination Full Job Description The Clinical Specialist for Carolina Therapy Services, Inc. will be responsible for ensuring that the documentation and clinical training practices of Carolina Therapy Services, Inc. maintains the highest quality for billing integrity, corporate compliance, standards of practice, and standards of care. The Clinical Specialist reports to the President and works integrally with the Area Directors. Responsible for adjusting documents utilized for billing and clinical progress so that it meets the regulations for compliant billing practices Responsible for providing occupational therapy services when indicated as well as assisting the operations team on an interim basis Supervise clinical development and programming for employees of Carolina Therapy Services, Inc. Implementation of chart auditing program to ensure that the documentation and billing of the services rendered are within guidelines for compliance and maintain clinical integrity Assist the President and the Area Directors in maintaining corporate compliance in billing practices Implementation of documentation and billing standards Assist with the recruitment of clinical staff when indicated Responsible for CTS response to Additional Documentation Requests and Denials through the appeals process Assist operations team in maximizing utilization and reimbursement Requirements