Note: The job is a remote job and is open to candidates in USA. La Frontera EMPACT - Suicide Prevention Center is a nonprofit organization providing behavioral health counseling, crisis intervention, and suicide prevention services. The Data Validation Administrator supports clinical documentation accuracy, billing and coding compliance, chart auditing, claims quality, staff education, and data integrity in a behavioral health outpatient setting.
Responsibilities
- Review patient records to ensure documentation supports appropriate billing and coding; including diagnoses, services rendered, and medical necessity
- Identify documentation gaps that may impact reimbursement, compliance, or patient care. Work with providers to resolve them
- Assist providers in understanding documentation requirements related to coding Standards(e.g., CPT, ICD-10) and payer guidelines
- Conduct routine chart audits to validate accuracy and alignment between clinical documentation and billing data
- Collaborate with the billing department to ensure clean claims and reduce denials or Rework
- Provide real-time or retrospective feedback to clinicians to improve documentation practices
- Track trends in documentation errors, coding issues, and claim denials. Report findings on leadership
- Support compliance with HIPAA, state regulations, and payer-specific requirements
- Develop training materials and provide education to medical and clinical staff on best practices for documentation, billing, and coding
- Assist in the management of organizational projects as needed
- Assists in evaluating and standardizing operations, policies, and procedures
- Assist with training and education of staff upon request
- Additional duties assigned by supervisor or member of management
- Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender or sexual orientation
- Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency
- Maintain a professional demeanor and positive working relationships with internal and external team members, stakeholders, and community and business partners
- If driving while on agency time or on agency business, a valid Arizona driver license and appropriate liability insurance and approval for liability coverage with EMPACT - SPC’s liability insurance carrier is required
Skills
- YOUR APPLICATION WILL BE REJECTED IF YOU ARE NOT A RESIDENT OF THE PHOENIX, AZ AREA
- IN OFFICE HOURS REQUIRED
- High School Diploma/GED Required
- 2+ years of experience in healthcare data validation, clinical documentation improvement (CDI), medical billing/coding, or chart auditing
- High attention to detail and strong organization skills are essential. Experience using electronic health care records
- Excellent interpersonal skills, capable of confidently and effectively presenting and speaking
- Able to work independently, collaboratively, and proactively to accomplish work goals
- Excellent computer skills
- Proficient in basic date analysis, reporting to include spreadsheets, charts, and diagrams
- Proficient in Microsoft Office Suite and managing projects through a full cycle process
- Must have a Fingerprint clearance card or be eligible to obtain one
- Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender or sexual orientation
- If driving while on agency time or on agency business, a valid Arizona driver license and appropriate liability insurance and approval for liability coverage with EMPACT - SPC's liability insurance carrier is required
- Associate or Bachelor's degree in health information management, Healthcare Administration, Nursing, or related field preferred
- Certified Professional Coder Certification preferred
- NextGen software experience preferred
Benefits
- For full-time employees: Generous PTO
- For full-time employees: 10 paid holidays per year
- For full-time employees: Medical plans (4 choices)
- For full-time employees: Dental plans (2 choices)
- For full-time employees: Vision plans (2 choices)
- For full-time employees: 403(b) retirement plan
- For full-time employees: Retirement Allowance
- For full-time employees: Company paid Life/AD&D and Long-Term Disability
- For full-time employees: Voluntary additional Life and Short-Term Disability
- For full-time employees: Tuition Reimbursement
- For full-time employees: Licensure Reimbursement
- For full-time employees: Elder Care assistance
- For full-time employees: Pet Insurance
Company Overview