Job Openings
Review Choice Demonstration (RCD) Specialist
About the job Review Choice Demonstration (RCD) Specialist
- Reviews and ensures quality and accuracy of all Task Attachments required for RCD submissions.
- Consults and communicates with all members of the agencys billing department on a regular basis to coordinate and address appropriate quality program related issues.
- Accountable for non-affirmed patient percentages-based Face to Face (F2F) insufficiency and homebound status.
- Serves as liaison to the administrative staff. Provides RCD and orders feedback as needed.
- Accountable for all RCD required submissions for determined coverage area.
- Accountable for identifying and locking Face to Face (F2F) documentation in a timely manner.
- Communicates the need for missing necessary orders in a timely manner.
- Maintains high standard of compliance in ethical and federal regulation at all times.
- Collaborate with clinical managers, sales, and intake departments to resolve discrepancies and clarify documentation when necessary.
- Performs other functions as assigned by administrator that support RCD and the revenue cycle.
- Participate in meetings, conferences, and workshops related to RCD program compliance to stay informed about industry best practices and regulatory changes.
- Provide guidance and education to the healthcare team on RCD program requirements, documentation standards, and coding guidelines.
- Review previous days referrals for F2F and comment in the F2F console weekly until able to obtain and lock.