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Data Validation Administrator
La Frontera EMPACT - Suicide Prevention CenterData Validation Administrator ensuring compliance in clinical documentation in behavioral health settings. Supporting accuracy and quality in clinical records for a community-focused organization.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Associate or Bachelor's degree in health information management, Healthcare Administration, Nursing, or related field preferred
- High School Diploma/GED Required
- Certified Professional Coder Certification preferred
- 2+ years of experience in healthcare data validation, clinical documentation improvement (CDI), medical billing/coding, or chart auditing.
- NextGen software experience preferred.
- High attention to detail and strong organization skills are essential.
- Experience using electronic health care records.
- Excellent interpersonal skills, capable of confidently and effectively presenting and speaking.
- Able to work independently, collaboratively, and proactively to accomplish work goals.
- Excellent computer skills.
- Proficient in basic data analysis, reporting to include spreadsheets, charts, and diagrams.
- Proficient in Microsoft Office Suite and managing projects through a full cycle process.
- Must have a Fingerprint clearance card or be eligible to obtain one.
Benefits
Comp & perks- Generous PTO
- 10 paid holidays per year
- Medical plans (4 choices)
- Dental plans (2 choices)
- Vision plans (2 choices)
- 403(b) retirement plan
- Retirement Allowance
- Company paid Life/AD&D and Long-Term Disability
- Voluntary additional Life and Short-Term Disability
- Tuition Reimbursement
- Licensure Reimbursement
- Elder Care assistance
- Pet Insurance and much more!
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingbillingclinical documentation improvementdata validationchart auditingdata analysisreportingdocumentation standardsCPTICD-10
Soft Skills
attention to detailorganizationinterpersonal skillspresentation skillscollaborationproactivityindependencecommunication
Certifications
Certified Professional Coder Certification