Physicians Order Quality Review Specialist
Southern Regional Health - Riverdale, GA

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Job Summary:

The Physicians' Order Quality Review Specialist reviews physicians' and other
medical providers' orders for scheduled outpatient diagnostic services for
completeness, coding, compliance and medical necessity purposes prior to the
scheduled exam(s). He/she contacts providers' offices on a pre-exam basis to
resolve any issues related to orders. The Physicians' Order Quality Review
Specialist also serves as a resource for staff registering patients for
unscheduled diagnostic services and works closely with all departments within
the Revenue Cycle as well as Clinical Departments to maximize quality patient
care and minimize reimbursement risks associated with the provision of medical
care.

Qualifications:

Position requires prior experience in a medical setting working with coding,
outpatient authorizations, and/or diagnostic imaging.
Also Requires:
1)
Extremely high degree of attention to detail.
2) Exceptional interpersonal
& organizational skills.
3) Good written and verbal communication
skills.
4) Ability to prioritize.
5) Good analytical & problem solving
skills.
6) Good working knowledge of all modalities within Diagnostic Imaging
as they relate to providers' outpatient diagnostic orders.
7) Ability to
effectively and accurately use CPT and ICD-9/10 coding books as they relate to
providers' outpatient diagnostic orders.
8) Good working knowledge of
standard office software and proficiency in data entry.
9) Outstanding
customer service.

The ideal candidate functions well as part of an
interdisciplinary team and understands the critical importance of their
responsibilities to quality patient care, the hospital's cash flow, accounts
receivable, and patient/physician loyalties and is extremely diligent in
ensuring all associated processes are updated when a provider's order is
updated; this includes but is not limited to updating scheduling, authorization,
registration, and order entry if applicable in an accurate and timely manner.

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