Documentation Verifier

About Us:

Southern California Alcohol and Drug Program

Southern California Alcohol and Drug Programs, Inc. (SCADP) was established in 1972 in a grassroots effort by community members seeking alternatives to prison for individuals with substance use disorder (SUD). SCADP is now a 501(c)(3) non-profit organization providing residential treatment services and outpatient counseling services to individuals throughout Los Angeles, as well as housing and supportive services for survivors of domestic violence. SCADP now offers services with a continuum of care to underserved and disadvantaged populations throughout the Los Angeles area.

PAY RATE: $22.88 - $24.08 Per Hour

BENEFITS: SCADP offers competitive medical, dental, vision and retirement benefits

JOB SUMMARY AND PURPOSE

While maintaining beneficiary confidentiality and information security, the Documentation verifier, will review for completion and accuracy of all services requiring documentation in the electronic health record system, confirming signatures for program and program activity attendance, track original signed documents and submit to biller for processing. This position will work closely with the Program Manager and program biller to ensure billing accuracy.

DUTIES AND RESPONSIBILITIES

• Review all intake billing related documentation in SAGE: CalOms, Financial Eligibility, Treatment Authorization, ICD 10 codes, Client Consent, and Clinical contact information
• Verify timely completion and data entry of treatment notes
• Verify essential treatment note information (i.e. units of services, time start -end time, documentation start-end time, date of service)
• Verify all paper form documentation for accuracy and completeness, tracking sheets
• Daily review of documentation for billable services
• Maintain and store all billing supportive documentation as required by State guidelines, prepares for submission to billing department
• Assists in maintaining confidential files in both physical and electronic forms
• Assists management in reconciling data
• Provides general office support including but not limited to answering phones, scheduling intakes, faxing, scanning and maintaining daily census records
• Other duties as required to meet program goals, subject to change as needed

ESSENTIAL ABILITY ACKNOWLEDGEMENT

Ability to work and deal with difficult, uncooperative, and potentially aggressive clients as SCADP serves the neediest of the needy in our programs, which may include clients with homelessness, mental illness, substance abuse, recently released from incarceration, and other challenges.

ESSENTIAL DUTIES:

• Services for this position must be provided on-site. As a result, the position requires incumbents to report to work on-site each day of active employment.
• Review all intake billing- related documentation in SAGE; CalOms, Financial Eligibility, Treatment Authorization, ICD 10 codes, Client Consent, and Clinical contact information
• Verify timely completion and data entry of treatment notes to ensure accurate billing claims
• Verify essential treatment note information (i.e. units of services, time start and end time)
• Daily review of billable services
• Maintain and store all billing supportive documentation as required by State guidelines, prepares for submission to billing department
• Assists in maintaining confidential files in both physical and electronic forms
• Assists management in reconciling data
• Provides general office support including but not limited to answering phones, scheduling ASAM assessments, faxing, scanning and taking staff meeting meeting minutes
• Other duties as required and may be subject to change

MANDATED REPORTER

As service providers to the underprivileged and vulnerable in our community, all employees are considered Mandated Reporters, and must report any instance of physical or sexual abuse to proper authorities.

Qualifications

REQUIREMENTS:

• Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications
• Ability to perform under circumstances of possible emotional stress and conflicts dealing with difficult, uncooperative, and potentially aggressive clients as SCADP serves the neediest of the needy in our programs which may include clients with homelessness, mental-illness, substance abuse, recently released from incarceration and other challenges.

EDUCATION:

• High School diploma

EXPERIENCE:

• 1 year review/ file audit experience

PREFERRED QUALIFICATIONS:

• Associate Degree or medical coding certificate. Prior experience with Medi-Cal billing
• 2 year review/ file audit experience
• Understanding of file and data audit
• Strong Computer literacy, familiar with Database entry; Microsoft operating systems including: Office, Outlook, Excel, PowerPoint..
• Good typing skills including 10 key.

Southern California Alcohol and Drug Programs, Inc. (SCADP) is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.