Agency:

Alternate Solutions Health Network

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.               

Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers.  Based on this regulation, all of our employees must be fully vaccinated or have a valid exemption.

SUMMARY:

The Clinical Intake Specialist is responsible for the clinical review and summary of documentation provided during the patient intake process. This role is responsible for reviewing all clinical notes, orders and/or discharge documents to identify the clinical reasons for a patient’s referral, for the purposes of relaying this information to field-based clinicians prior to the start of care visit via electronic documentation. In addition, when applicable, this role will review the accompanying face-to-face (F2F) visit documentation to document any gaps in documentation required by Medicare or other insurance companies. This role directly impacts the operation of systems across departments within the company and ultimately the physical well-being of our patients.

This role will work significantly in electronic medical record (EMR) software to perform many of its job functions, in addition to the use of email, fax and phone. Where necessary, the role will collaborate with other departments and referring institutional and community providers to assist with the collection of documents in a timely manner. A successful candidate will maintain continuous professional working relationships with a consistent group of internal teammates and external partners. The responsibilities of this role when performed timely and accurately, have a direct effect on patient satisfaction, the organization’s ability to provide care and the overall financial performance of the company. This role will comply with all legal, insurance/payer and company rules and regulations.

QUALIFICATIONS:

Education/Experience:

• A valid state license as an MA, LPN, PTA, or OTA with experience in medical terminology is required (Ohio license preferred)

• Minimum of 2 years’ experience in the health care industry; Home health intake experience highly preferred

• Medical coding experience is required

• Ability to maintain licensure as practicing Clinician per the state requirements, if applicable

• Ability to leverage clinical training to identify and summarize the patient’s clinical status and diagnoses is required

• Knowledge of clinical best practices and HIPAA rules and regulations is required

• Knowledge of guidelines governing home health agencies is required

• Experience and proficiency in home health coding is preferred; ICD-10 coding certification a plus

• Knowledge and adherence to CMS Rules and Guidelines, Coding Rules, Conventions, and Guidelines is preferred

• Knowledge of Medicare Home Health documentation requirements including Face-to-Face (F2F) criteria is preferred

• Experience reviewing Face-to-Face (F2F) documentation to validate homebound and skilled need components are met is preferred

Technical Skills:

• Experience working with Electronic Medical Records (EMR) systems, such as Epic, Cerner, Homecare Homebase, Brightree or Kinnser/Wellsky is required

• Experience working with Forcura and e-fax systems is preferred

• Proficiency in Microsoft Word and Outlook is required

• Experience working with computers is required and experience with dual monitors is preferred

Other Skills:  

• High degree of accuracy with close attention to detail

• Strong organization and analytical skills, disciplined work ethic

• Ability to manage and prioritize tasks in an efficient and timely manner

• Excellent oral and written communication skills

• Dedication to process improvement and excellence

• Ability to maintain effective communication with a variety of people (physicians, co-workers) over extended periods of time and, absent formal authority, influence/persuade them to conform to Medicare expectations for proper documentation and ASHN policies

• Ability to apply education and training to the review of a wide variety of documents; Ability to self-troubleshoot and to escalate to supervisors/managers where necessary

• Ability to professionally handle confidential information 

ESSENTIAL FUNCTIONS / RESPONSIBILITIES

• Review referral packet information and document patient diagnoses and clinical summary notes in the patient’s chart within the EMR

• Review and document the status of face-to-face visit documentation, when applicable

• Ensure accuracy with ICD-10 coding guidelines and conventions

• When necessary, collaborate with peers, agencies and referring providers to troubleshoot and resolve documentation questions, issues and gaps and persuade them to change the quality of their current and future documentation

• Review alignment between patient diagnosis and referring provider Face-to-Face documentation

• Identify trends and issues in documentation quality and escalate to leadership as appropriate to resolve to mitigate negative consequences for other departments and systems within the company

• Perform duties accurately and efficiently with the use of a computer, fax, copier, scanner and phone

• Arrive at assigned location on scheduled work day.  Work according to designated hours

• Dexterity & vision to complete documentation on a computer

• Attend in-service trainings and mandatory agency meetings as necessary

HEALTH QUALIFICATIONS:

Health Requirements: Employee must be free of physical/medical conditions that would limit or restrict their ability to perform the job functions listed below.  Bloodborne Exposure risk is none.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Below are minimal knowledge/physical requirements of this position.

Constantly (66%-100%):

Reading, Speaking, Writing English

Communications Skills

Computer/PDA Usage

Hand/finger dexterity

Hearing/Seeing

Vision for close work

Talking in person

Hearing in person

Talking on the phone

Hearing on the phone

Sitting

Frequently (34%-66%)

N/A

Occasionally (2%-33%)

Standing

Bending

Stooping (bend at waist)

Walking

Rarely (1% or less)

Lifting up to 50 lbs. with or without assistance

Stretching/Reaching

Driving

Climbing

We’ll help you put your passion for patient care to work.  Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.