Clinical Documentation Support Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Conducts reviews of patient medical records to aid in compliance audits, organizational risk assessments, and continuous monitoring activities.

• Responsible for assessing and confirming that the provided documentation substantiates the delivery of medically necessary services.

• Aids in random and targeted pre-payment and post-payment audits by examining patient medical records.

• Completes medical record assessments promptly and efficiently.

• Assists in making every effort to gather relevant internal and external medical record documentation to validate the services rendered and billed.

• Supports the monitoring of received medical documentation, manages outbound requests, and ensures all requisite information is secured (when available).

• Adheres to pertinent policies and procedures and escalates issues as necessary.

• Contributes to the analysis of customer chart documentation trends for outreach training and educational opportunities related to medical reviews.

• Ensures all reasonable efforts are made to collect the necessary external medical record documentation to substantiate the services in question.

• Ensures the received medical record documentation is accurately recorded and assists in managing outbound documentation requests.

• Provides support to the Senior Clinical Specialist with additional responsibilities as needed.

⛳️ Requirements

• Comprehensive knowledge of medical terminology and clinical documentation is essential.

• Strong verbal, written, and interpersonal communication skills are required.

• Exceptional organizational skills and attention to detail are necessary.

• Ability to effectively prioritize tasks, conduct research, troubleshoot, and resolve problems.

• Must possess the capability to manage multiple competing priorities.

• A collaborative team player who can prioritize tasks, thrive under pressure, adapt to changes readily, and excel in a productivity-driven environment.

• Ability to focus on highly detailed tasks despite frequent interruptions and to work efficiently with minimal supervision.

• A Bachelor’s degree is required.

• Five or more years of relevant experience may be considered in lieu of a Bachelor’s degree.

• Preference for candidates with experience in medical terminology and documentation review.

• Proficiency in healthcare billing systems and Microsoft Office is required.

• Experience with government and various third-party payers is essential.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment with a focus on teamwork and collaboration.