Responsibilities

•Respond to phone and email request by preparing and releasing medical information according to federal and state laws and company policies including requesting copies of patient medical records from facilities and assemble documentation for proper content and request additional information as needed. •Review records, policies and/or contract requirements and prepare appeals and reconsiderations for denials •Prepare appeals packet communication to FIs (Fiscal Intermediary) as appropriate based upon appeals and overall documentation findings •Maintain accurate tracking of claims and meet standards •Identify opportunities for documentation improvement and assist in facilitating improvements in medical record documentation