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Clinical Documentation Support Specialist
Location
United States
Posted
21 days ago
Salary
$57.4K / year
Seniority
Senior
Job Description
Clinical Documentation Support Specialist
TridentCare
• Completes patient medical record reviews to support compliance audits, organizational risk assessments, and ongoing monitoring activities. • Responsible for reviewing and determining that supporting documentation demonstrates performance of medically necessary services. • Supports random and focused pre-payment and post payment audits in the review of patient medical records. • Completes medical record reviews in a timely manner. • Assists to ensure all possible efforts are made to obtain appropriate internal and external patient medical record documentation to support the services provided and billed. • Supports the tracking of medical documentation received, outbound requests, and ensures all necessary information is obtained (where they exist). • Follows related policies and procedures and escalates where appropriate. • Assists in medical review related customer chart documentation trend analysis for outreach training and education opportunities. • Ensures all reasonable efforts are made to obtain appropriate external medical record documentation to support the services in question. • Ensures medical record documentation received is recorded appropriately and aids in the management of outbound documentation requests. • Assists Senior Clinical Specialist with other areas of responsibility as requested.
Job Requirements
- Excellent knowledge of medical terminology and clinical documentation.
- Strong oral, written and interpersonal communication skills.
- Excellent organizational and attention to detail skills required.
- Able to effectively prioritize, research, trouble-shoot, and problem solve.
- Must have ability to manage multiple and competing priorities.
- Team player who is able to prioritize, work well under pressure, readily adapt to change, and excel in a productivity based environment.
- Ability to concentrate on highly detailed work despite frequent interruptions and work effectively with minimal supervision.
- Bachelor’s degree required.
- Five years or more related experience may substitute for bachelor’s degree.
- Experience in medical terminology and documentation review is preferred.
- Experience with healthcare billing system solutions and Microsoft Office required.
- Experience with government and other third party payers required.
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