Clinical Administrative Assistant

Key Responsibilities

• Review, audit, and approve clinical documentation submitted by AOM nurses and contracted agency nurses for accuracy, completeness, compliance, and billing readiness.
• Ensure clinical documentation meets AOM standards, payer requirements, accreditation standards, and regulatory guidelines.
• Identify documentation deficiencies, omissions, inconsistencies, or missing required elements and communicate corrective measures to clinicians.
• Monitor and track outstanding documentation corrections to ensure timely completion.
• Approve documentation once all quality and compliance requirements have been met.
• Conduct audits of patient medical records to ensure complete and accurate clinical documentation.
• Identify documentation trends and recurring deficiencies and communicate opportunities for education and process improvement.
• Participate in the company's Quality Assurance Program and support continuous quality improvement initiatives.
• Maintain confidentiality of all patient information in accordance with HIPAA regulations and company policies.

Intake Operations Support

• Provide backup coverage for Clinical Intake Coordinator during high volume days as well as during planned and unplanned absences.
• Review medical documents/information pertaining to the patient's diagnosis, health history, and medication ordered as required by the patient's insurance carrier to determine the "medical necessity" of the prescribed therapy.
• Effectively communicate with sales, clinical team, patients and family.
• Act as primary liaison between branch personnel and referral sources during patient intake process.
• Responsible for communicating sales related concerns and referral source or patient complaints to management.
• Ensure timely authorization process for services from the patient's insurance carrier and the timely communication of insurance information to management, clinical and sales teams.
• Review physician's letter of medical necessity and other medical information as required by the patient's insurance carrier to determine the "medical necessity" of the prescribed therapy.
• Maintain accurate referral and patient information within company systems.
• Collaborate with intake, pharmacy, nursing, and scheduling teams to facilitate seamless patient transitions into care.

General Responsibilities

• Support AOM Infusion's ongoing compliance with ACHC accreditation standards.
• Maintain working knowledge of ACHC standards, home infusion regulations, and documentation requirements.
• Aid in accreditation preparation activities, audits, and corrective action initiatives.
• Promote adherence to company policies, procedures, and regulatory requirements.
• Participate in departmental meetings to discuss workflow priorities, documentation concerns, and operational initiatives.
• Effectively communicate with internal departments, referral sources, agency partners, providers, patients, and caregivers as appropriate.
• Provide clinical and operational support to nursing, intake, pharmacy, and administrative teams.
• Perform additional duties and special projects assigned by leadership.