Review Choice Demonstration RCD Specialist

Job Summary: The primary function of the RCD Specialist is to serve as the reviewer/submitter for the RCD submission process and assist with gathering additional information and necessary documentation to include with the submission.

• 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.
  
  

What You Need

High school graduate required. Some college is preferred.

One year of experience in a home health office is preferred.

Good interpersonal skills.

Computer and typing proficiency with experience using Excel or Google Sheets.

Light typing is preferred.

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