Why Us?:
With a mantra of Empowering Human Potential, Hanger, Inc. is the world’s premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger’s Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger’s vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.
Could This Be For You?:
Primary responsibilities include the management and facilitation of the Centers for Medicare and Medicaid Services (CMS) or private payors� financials to ensure compliance, improve performance, and reimbursement rates; as well as, maintaining exceptional support and communication with clinics, employees, and management. Other responsibilities may include liaison roles, claim submissions and various other types of processing. � Principal Duties and Responsibilities (Essential Functions): - Perform internal and external review of data, files or medical charts to ensure that all required documentation is in compliance with guidelines; such as, CMS and other medical policies - Prepare assessments based upon facts, document the company�s position, and obtain all documents to support the analysis - Consult with management, clinicians, physicians and physician staff (if acceptable within the Region), as needed, on documentation issues, clinical deficiencies, new trends, and other regulatory issues potentially require internal policy changes - Develop and manage relationships with colleagues in a professional manner - Update tracking and billing systems accordingly - Attend department meetings and discuss unique audit findings - Responsible for conducting special projects, which may include reconciling and reviewing medical necessity �
Your Impact:

KNOWLEDGE AND SKILL:

• Works well under pressure
• Attention to detail with the ability to quickly identify trends
• Able to communicate well and exhibit good interpersonal skills
• General knowledge of Medicare audit, appeals, reimbursement, Local Coverage Determinations (LCDs), policy articles, and medical terminology
• Self-starter and take the initiative to proactively solve/investigate problem areas
• Ability to multi-task
• Personal accountability and able to meet deadlines
• Demonstrates general knowledge of MS Office suite programs
• General knowledge of Electronic Health Record systems; such as, OPS and NextGen
• Demonstrates the ability to pull data, scan, and migrate into OnBase
• Demonstrates high ethical standards regarding confidential patient and billing information; ensuring compliance with relevant laws, including HIPAA requirements, regulations and established Hanger policies and procedures

Please refer the Job description for details