La Frontera EMPACT - Suicide Prevention Center

Administration

• Review patient records to ensure documentation supports appropriate billing and coding; including diagnoses, services rendered, and medical necessity.
• Identify documentation gaps that may impact reimbursement, compliance, or patient care. Work with providers to resolve them.
• Assist providers in understanding documentation requirements related to coding Standards (e.g., CPT, ICD-10) and payer guidelines.
• Conduct routine chart audits to validate accuracy and alignment between clinical documentation and billing data.
• Collaborate with the billing department to ensure clean claims and reduce denials or rework.
• Provide real-time or retrospective feedback to clinicians to improve documentation practices
• Track trends in documentation errors, coding issues, and claim denials. Report findings on leadership.
• Support compliance with HIPAA, state regulations, and payer-specific requirements.
• Develop training materials and provide education to medical and clinical staff on best practices for documentation, billing, and coding
• Assist in the management of organizational projects as needed.
• Assists in evaluating and standardizing operations, policies, and procedures.
• Assist with training and education of staff upon request

Data Validation Administrator

Medical Director

• The Medical Director supervises and provides clinical oversight to staff/contract practitioners, psychiatrists, and medical professionals.
• Direct the day-to-day operations of the outpatient clinical programs.
• Ensure the productivity of the department and monitor individual staff performance to meet productivity standards.
• Responsible for the overall direction and management of outpatient clinical staff including selection, training and development, goal setting, evaluation, performance feedback, and ensuring a positive and respectful work environment.
• Provide administrative and clinical supervision of Program Managers and indirect supervision to all departmental staff.
• Monitor and maintain all client records in accordance with agency policies and procedures.
• Participate in utilization review functions associated with department.
• Recommend changes that would improve service delivery and implement changes and new programming as directed.
• Develop and maintain effective working relationships with all related state, community behavioral health, and contracting organizations.