Forefront Dermatology
Team Lead- M&A Coding and Documentation
Forefront Dermatology, Manitowoc, Wisconsin, us, 54221
Overview
SummaryThe Team Lead – M&A Coding and Documentation works closely with the Compliance Manager, VP of Compliance and Medical Director of Compliance to develop and execute purposeful, highly accurate due diligence documentation and coding reviews and post-close training for partnering practices. This position will assist with project selection and parameters and will coordinate network resources to efficiently and effectively meet project and team goals. Dedication to consistent professionalism and teamwork is required, as this position will serve as a resource to members of the Integration and Compliance Teams, and Forefront’s physicians, PAs and NPs. Occasional travel may be required.
Responsibilities
Collaborates with the Compliance Manager, VP of Compliance and/or Medical Director of Compliance to develop and maintain the due diligence medical record review program, including:Closely monitors and tracks due diligence review progress and provides frequent updates regarding status and outcomes to applicable Forefront stakeholders.Utilizes resources in an efficient productive manner and collaborates with the Compliance Manager regarding resource needs.Analyzes billing and/or collections data to identify notable trends and select a relevant sample of visit notes for the clinical quality and coding and documentation review.Performs coding and documentation reviews and completes a written summary of the findings to share with applicable Forefront stakeholders. Partners with other Forefront Coders to complete large review projects, as needed.Works closely with the Medical Director of Compliance to ensure completion of the clinical quality review.Works closely with members of the Compliance and Integration Team to determine financial impact associated with the clinical quality and coding and documentation review findings.Develops training and educational materials that address the findings from the due diligence coding and documentation review and shares with the partnership practice upon joining Forefront.Performs coding and documentation re-reviews and provides additional/ongoing education after the partnership practice joins Forefront.Acts as a point of contact for coding and documentation related questions for partnership practices until they convert to Forefront’s EMR systems.Occasional travel may be necessary for items such as gathering medical records for due diligence review and onboarding presentations when practices join Forefront.When not working on due diligence medical record reviews, the Team Lead – M&A Coding and Documentation will support the Team Lead – Coding and Documentation to achieve project and department goals and objectives, including:Completes routine and focused documentation and coding reviews.Creates and maintains company coding policies and procedures, training materials, and resources.Ensures company coding and documentation training materials/resources are up to date.Supports communication/training/implementation for any applicable coding updates.Addresses coding issues, questions, errors, and support cases through to completion.Serves as a resource to the organization for coding related concerns and investigations.Maintains current knowledge of the clinician role in NextGen PM and EMA EHR.Acts in a manner consistent with company philosophy, goals and objectives.Promotes teamwork, positive response to change, and sharing of knowledge and expertise.Strictly adheres to company-wide policies and procedures.Completes and adheres to all company compliance training.Performs other related duties as assigned.
Qualifications
Education & ExperienceCertified Medical Assistant, LPN or RN is preferred. Must keep current on all state certifications, licenses and/or registrations to continue employment.Dermatology coding certification required, at minimum.CPR Certification is required per licensing requirements as applicable.Minimum 2 years’ of work experience in dermatology/Mohs surgery/plastic surgery or 5 years of related work experience is required.Knowledge, Skills and Abilities:Must be willing and able to travel occasionally.Must possess a valid Driver’s License and a driving record that allows for insurability by Forefront Dermatology.Must possess excellent communication, organization, and interpersonal skills in order to provide a quality training experience.Ability to train using a variety of systems and methods. Must be adaptable to a variety of learning styles and capacities, with the ability to demonstrate a consistently calm, positive, and encouraging demeanor.Ability to provide effective, constructive, and positive feedback to trainees, and respond positively to constructive feedback from others.Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.Must display a friendly, cheerful, tactful, and polite demeanor, and compassionate caring in dealing with others.Must demonstrate leadership by serving as an example to others with regard to professional appearance and behavior.Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.Must have proficient computer and typing skills. Experience with Microsoft Word, Excel and PowerPoint.Ability to maintain confidentiality of information.
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SummaryThe Team Lead – M&A Coding and Documentation works closely with the Compliance Manager, VP of Compliance and Medical Director of Compliance to develop and execute purposeful, highly accurate due diligence documentation and coding reviews and post-close training for partnering practices. This position will assist with project selection and parameters and will coordinate network resources to efficiently and effectively meet project and team goals. Dedication to consistent professionalism and teamwork is required, as this position will serve as a resource to members of the Integration and Compliance Teams, and Forefront’s physicians, PAs and NPs. Occasional travel may be required.
Responsibilities
Collaborates with the Compliance Manager, VP of Compliance and/or Medical Director of Compliance to develop and maintain the due diligence medical record review program, including:Closely monitors and tracks due diligence review progress and provides frequent updates regarding status and outcomes to applicable Forefront stakeholders.Utilizes resources in an efficient productive manner and collaborates with the Compliance Manager regarding resource needs.Analyzes billing and/or collections data to identify notable trends and select a relevant sample of visit notes for the clinical quality and coding and documentation review.Performs coding and documentation reviews and completes a written summary of the findings to share with applicable Forefront stakeholders. Partners with other Forefront Coders to complete large review projects, as needed.Works closely with the Medical Director of Compliance to ensure completion of the clinical quality review.Works closely with members of the Compliance and Integration Team to determine financial impact associated with the clinical quality and coding and documentation review findings.Develops training and educational materials that address the findings from the due diligence coding and documentation review and shares with the partnership practice upon joining Forefront.Performs coding and documentation re-reviews and provides additional/ongoing education after the partnership practice joins Forefront.Acts as a point of contact for coding and documentation related questions for partnership practices until they convert to Forefront’s EMR systems.Occasional travel may be necessary for items such as gathering medical records for due diligence review and onboarding presentations when practices join Forefront.When not working on due diligence medical record reviews, the Team Lead – M&A Coding and Documentation will support the Team Lead – Coding and Documentation to achieve project and department goals and objectives, including:Completes routine and focused documentation and coding reviews.Creates and maintains company coding policies and procedures, training materials, and resources.Ensures company coding and documentation training materials/resources are up to date.Supports communication/training/implementation for any applicable coding updates.Addresses coding issues, questions, errors, and support cases through to completion.Serves as a resource to the organization for coding related concerns and investigations.Maintains current knowledge of the clinician role in NextGen PM and EMA EHR.Acts in a manner consistent with company philosophy, goals and objectives.Promotes teamwork, positive response to change, and sharing of knowledge and expertise.Strictly adheres to company-wide policies and procedures.Completes and adheres to all company compliance training.Performs other related duties as assigned.
Qualifications
Education & ExperienceCertified Medical Assistant, LPN or RN is preferred. Must keep current on all state certifications, licenses and/or registrations to continue employment.Dermatology coding certification required, at minimum.CPR Certification is required per licensing requirements as applicable.Minimum 2 years’ of work experience in dermatology/Mohs surgery/plastic surgery or 5 years of related work experience is required.Knowledge, Skills and Abilities:Must be willing and able to travel occasionally.Must possess a valid Driver’s License and a driving record that allows for insurability by Forefront Dermatology.Must possess excellent communication, organization, and interpersonal skills in order to provide a quality training experience.Ability to train using a variety of systems and methods. Must be adaptable to a variety of learning styles and capacities, with the ability to demonstrate a consistently calm, positive, and encouraging demeanor.Ability to provide effective, constructive, and positive feedback to trainees, and respond positively to constructive feedback from others.Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.Must display a friendly, cheerful, tactful, and polite demeanor, and compassionate caring in dealing with others.Must demonstrate leadership by serving as an example to others with regard to professional appearance and behavior.Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.Must have proficient computer and typing skills. Experience with Microsoft Word, Excel and PowerPoint.Ability to maintain confidentiality of information.
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