Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.)
About The Position
Responsible for accurately transposing and reconciling clinical documentation from the EMR into payer-specific systems to provide information for proper risk adjustment of patients and increase revenue to health plans and the internal organization. The position requires a strong understanding of progress note components, the ability to recognize medical conditions and medications, and an understanding of their relevance to specific diagnoses. The specialist provides feedback to management for provider education and correction purposes and ensures patient records are complete and compliant with payer guidelines in a timely manner. ICD-10 proficiency is required.
Requirements
- Associate's degree, or a combination of relevant education and experience may be considered in lieu of a degree.
- Three years of experience in clinical documentation, billing and coding, or health information management.
- Proficiency in ICD-10.
- Strong understanding of progress note components.
- Ability to recognize medical conditions and medications and understand their relevance to specific diagnoses.
Nice To Haves
- Certified Professional Coder.
- Certified Professional Medical Auditor.
- Certified Risk Adjustment Coder.
Responsibilities
- Accurately transpose and reconcile clinical documentation from the EMR into payer-specific systems.
- Provide information to support proper patient risk adjustment and increase revenue to health plans and the internal organization.
- Provide feedback to management for provider education and correction purposes.
- Ensure patient records are complete and compliant with payer-specific guidelines in a timely manner.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
Associate degree
