Data Validation Administrator

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Review patient records to verify that documentation supports accurate billing and coding, including diagnoses, services provided, and medical necessity.

• Identify any gaps in documentation that could affect reimbursement, compliance, or patient care, and collaborate with providers to address them.

• Assist providers in understanding the documentation requirements related to coding standards (e.g., CPT, ICD-10) and payer guidelines.

• Conduct regular chart audits to confirm the accuracy and consistency between clinical documentation and billing data.

• Work together with the billing department to ensure the submission of clean claims and minimize denials or rework.

• Offer real-time or retrospective feedback to clinicians to enhance documentation practices.

• Monitor trends in documentation errors, coding challenges, and claim denials, reporting findings to leadership.

• Support adherence to HIPAA, state regulations, and specific payer requirements.

• Create training materials and educate medical and clinical staff on best practices for documentation, billing, and coding.

• Assist in managing organizational projects as needed.

• Help evaluate and standardize operations, policies, and procedures.

• Provide training and education to staff upon request.

⛳️ Requirements

• Preferred: Associate or Bachelor's degree in health information management, Healthcare Administration, Nursing, or a related field.

• Required: High School Diploma/GED.

• Certification as a Certified Professional Coder is preferred.

• Minimum of 2 years of experience in healthcare data validation, clinical documentation improvement (CDI), medical billing/coding, or chart auditing.

• Experience with NextGen software is preferred.

• High attention to detail and strong organizational skills are essential.

• Experience with electronic health care records is necessary.

• Exceptional interpersonal skills, with the ability to present and communicate confidently and effectively.

• Capable of working independently, collaboratively, and proactively to achieve work objectives.

• Strong computer skills are required.

• Proficient in basic data analysis and reporting, including spreadsheets, charts, and diagrams.

• Proficient in Microsoft Office Suite and managing projects through a complete cycle process.

• Must possess a Fingerprint clearance card or be eligible to obtain one.

🏝️ Benefits

• Generous PTO.

• 10 paid holidays per year.

• Medical plans (4 options).

• Dental plans (2 options).

• Vision plans (2 options).

• 403(b) retirement plan.

• Retirement Allowance.

• Company-paid Life/AD&D and Long-Term Disability.

• Voluntary additional Life and Short-Term Disability.

• Tuition Reimbursement.

• Licensure Reimbursement.

• Elder Care assistance.

• Pet Insurance and much more!