Medical Assistant – Clinical Documentation Support

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

📋 Description

• Assist in the preparation of provider-facing documentation for PACE Participants by arranging existing medical records and other authorized clinical information.

• Collect and organize existing medical records and approved clinical documentation for provider evaluation.

• Create provider-facing documentation packets and templates prior to scheduled Participant appointments.

• Examine assigned work queues and obtain approved reports and supporting documentation.

• Structure hospital, emergency department, skilled nursing facility, specialist, laboratory, imaging, medication, vital sign, assessment, and care plan details.

• Ensure that documentation materials are complete, accurate, well-organized, and accessible within specified timelines.

• Monitor missing records and follow up through designated channels.

• Keep precise work queues, preparation trackers, and provider visit readiness logs.

• Track documentation status and direct items to the appropriate provider or CDI Nurse.

• Collaborate effectively with providers, Medical Records, Clinical Operations, CDI Nurses, scheduling, and other support teams.

• Report unclear, inconsistent, complex, or audit-sensitive information to the relevant clinical leader.

• Utilize approved templates and impartial language when developing documentation support materials.

• Assist with follow-up tracking after provider appointments.

• Engage in quality improvement, workflow development, and training activities.

• Uphold Participant confidentiality and adhere to HIPAA and organizational policies.

• Perform additional duties as assigned.

⛳️ Requirements

• High School Diploma or GED is required.

• Prior medical coding experience with a strong focus on CC is required.

• Experience in reviewing provider charts and understanding provider documentation practices is required.

• Familiarity with electronic medical records is required.

• Must be organized, reliable, and highly detail-oriented.

• Strong knowledge of medical coding with a CC-focused approach.

• Understands provider charting and the appropriate documentation of clinical conditions in medical records.

• Comfortable reviewing provider documentation and identifying any missing or incomplete information for proper assessment.

• Comfortable handling confidential healthcare information.

• Ability to manage multiple priorities, deadlines, and work queues.

• Excellent written and verbal communication skills.

• Capable of working independently while also collaborating with a broader clinical team.

• Comfortable utilizing electronic medical records and learning new technologies.

• Able to identify when information needs to be escalated to a provider, CDI Nurse, or clinical leader.

• Recognizes the significance of maintaining neutral, factual documentation.

• Proficient in computer skills, including Microsoft Office, Outlook, Excel, and Teams.

• CPR and First Aid Certification (or willingness to obtain post-hire; training will be provided!).

• Medical Assistant training, diploma, certificate, or equivalent healthcare administrative or clinical support experience is preferred.

• Experience in medical records, healthcare administration, clinical documentation, or provider support is preferred.

• Experience working with the frail and elderly population, PACE, geriatrics, or value-based care is advantageous.

• Reliable availability and connectivity during scheduled work hours.

• Employment is contingent upon successful completion of necessary background checks, health and safety screenings, and any required clearances for healthcare programs.

🏝️ Benefits

• 9 Paid Holidays.

• PTO starting at 3 weeks + 1 day per year (accrued from the date of hire for full-time employees).

• Medical, Dental, & Vision coverage.

• Complimentary Life and AD&D Insurance Plan.

• Health Savings and Flexible Spending Accounts.

• Short-Term Disability Insurance.

• Group Voluntary Term Life Insurance for Employees, Spouses, and Dependents.

• Paid Parental Leave.

• Tuition Reimbursement and Paid Training Opportunities.

• Retirement Plan with an annual company match.

• Mileage Reimbursement at the annual IRS rate as applicable.

• Training, mentorship, and career development programs.