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Assist the compliance team in maintaining current laws and guidelines for autism-related ABA regulations across all 50 US states. Responsibilities include auditing medical records, coding services, and drafting appeal letters to payers.
This is a remote position.
Responsibilities:
Review Medicaid regulations related to ABA for all 50 states
Review State Autism Insurance Mandates for all 50 states
Review state practice laws related to ABA
Review payer policies and guidelines followed by summarizing findings
Review payer contracts
Audit medical records to ensure services billed are supported by documentation
Drafting appeal letters to payers in response to medical records audits
Coding of OT, PT, and SLP
Coding of Psychological testing and Developmental testing
Detail orientated with above-average organizational skills
Able to plan and prioritize to meet deadlines
Excellent verbal and written communication
Communicates clearly and effectively
Excellent reading comprehension
Excellent computer skills, including Microsoft programs such as Excel, Word
Thorough understanding of navigating the internet
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