Work Comp Editor

Description Work Comp Editor It is our goal to provide the finest Orthopaedic care possible. This philosophy requires that all office staff and providers be sensitive and responsive to patients’ needs and preferences. To ensure that we hire and retain the quality of staff needed for implementing our philosophy of service, we have adopted the following job description for this position. The position is an hourly position. Workdays are typically scheduled withing a five-day workweek. Hours and days may vary based on operational needs. All scheduling complies with applicable California wage-and-hour-laws. Many of the responsibilities require that you have a working knowledge of computers and the ability to make proper use of the programs utilized in this office, or those that may be necessary to meet the needs of the practice.

BASIC FUNCTION:

Under the supervision of the Director of Workers’ Comp Department and his/her designees, the Workers’ Comp Editor shall be responsible to complete their assigned reports and meet with physicians and management as needed.

JOB SUMMARY:

The Workers' Comp Editor is responsible for reviewing, editing, and preparing medical-legal reports, including consultation reports, Permanent and Stationary reports, AME and QME evaluations, and supplemental reports. Must be familiar with case laws and Labor Code 4664 and 4663. This role maintains report tracking logs, reviews physician schedules to ensure timely report completion, and generates electronic fee tickets for billable services.

Duties and Responsibilities:

• Take history information from injured workers/patients.
• Review patient’s history information with physician
• Coordinate history times with office staff
• Responding to all emails and actions for assigned physicians
• Edit consultation reports, permanent and stationary reports, AME’s, and QME’s for accuracy, grammar, and completeness.
• Based on physician’s instructions ensure accuracy of impairment ratings
• Responding to all emails and actions for assigned physicians
• Schedule time to meet with the physician to review any questions on the reports.
• Make corrections & changes on reports as instructed by physicians.
• Meeting with assigned physicians to address review and revision of reports and make necessary changes
• Report tracking to ensure compliance with guidelines/timelines – logs
• Work up and then edit supplemental reports for physicians.
• Any other duties as may be assigned by the Manager.

Requirements

• To perform this job successfully, an individual must be able to perform satisfactorily job duties, demonstrate excellent work habits, deliver superior service, and exhibit the highest degree of professionalism.
• Employ positive communication skills and exercise professional interpersonal abilities (tack, diplomacy, and respect) with patients and co-workers always.
• Maintain a high degree of professionalism in the workplace, including appearance, communication, attendance, reliability, and teamwork.
• Maintain a high level of organization, including an orderly and neat work area and excellent time management skills, leading to the highest level of productivity.
• Demonstrate a desire to succeed and willingness to help others succeed.
• Demonstrate support and comply with all Safety program elements including adherence to policies, exercise of safe work practices, participation in training, use of protective equipment, and reporting all safety concerns, hazards, and non-compliant practices.
• Serve as an employee for Arrowhead Orthaepedics, following the code of conduct, displaying the highest level of ethics and integrity in action, thoughts and conduct.

Skill and Education Requirements:

• High school diploma or equivalence required.
• Ability to type a minimum of 40 words per minute.
• Skill in operating a computer and scanner, as well as software programs including Microsoft Word, Excel, Outlook, and preferably Practice Partner, Practice Plus, and Whole Person
• Strong telephone etiquette and customer service skills.
• Excellent verbal and written communication skills with patients, providers, and staff.
• Ability to maintain patient confidentiality and comply with HIPAA regulations.
• Attention to detail and accuracy in documentation and recordkeeping.

Certificates, pre-employment requirements:

• Required to submit and obtain a negative result in the pre-employment drug screening.
• Ability to pass a background check.

E-Verify Participation Notice AO is an E-Verify employer. Candidates must be legally authorized to work in the United States. Employment eligibility will be verified in accordance with applicable federal requirements.