Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.)

Our take on this role

About this role

Transfer and reconcile clinical documentation from the EMR into payer-specific systems for risk adjustment. Provide feedback to management for provider education and corrections, and ensure records are complete according to payer guidelines.

What could you bring from clinical work?

• Nurses: Reviewing diagnoses, medications, and progress notes for gaps could help you reconcile documentation and provide feedback to management for provider corrections.

Full job description from Temple Health

Overview
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This position necessitates a strong understanding of progress note components, the ability to recognize medical conditions and medications, and their relevance to specific diagnoses. The specialist provides valuable feedback to management for provider education and correction purposes, ensuring that patient records are complete and compliant with payer guidelines in a timely matter. Provides feedback to management for provider education and correction purposes. Ensures that the patient records are complete in a timely manner according to the payer specific guidelines. Must be ICD-10 proficient.
Education
Associate's Degree Required or
Combination of relevant education and experience may be considered in lieu of degree Required
Experience
3 years experience in clinical documentation, billing and coding, or health information management Required
Licenses
Certified Professional Coder Preferred
Cert Profess Medical Auditor Preferred
Cert Risk Adjustment Coder Preferred