Clinical Documentation Specialist

Written by chenmed - - Comments Off on Clinical Documentation Specialist
ChenMed
Published
August 18, 2021
Location
Miami, Florida
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Clinical Documentation Specialist

Location Miami, Florida, United States of America Category Corporate Job Id R0016159

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We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The High Risk Disease Detection (HRDD) Specialist is responsible for compiling, abstracting and maintaining medical records to document patient condition and treatment. Ensures that all patient documents and records are maintained in accordance with legal, Centers for Medicare and Medicaid Services (CMS) and confidentiality guidelines.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Represents proper risk adjustment processes, analyzes trends and data to assist with Hierarchal Condition Categories (HCC) accuracy to providers and other clinical staff.
  • Helps HRDD (High Risk Disease Detection) managers by verifying reports, extracting data and researching information to provide to PCPs.
  • Reviews hospital and past medical records with the purpose of recommending missed diagnoses to the PCP.
  • Prepares information and analyses for use by High Risk Disease Detection managers in their presentations to physicians, clinical personnel and corporate leadership.
  • Reviews charts for accuracy, quality and completeness of clinical records.  Reviews patient medical records to judge appropriate diagnosis, assessments and plans and overall TAMPER (Treatment, Assessment, Monitor, Plan, Evaluate, Referral).
  • Facilitates improvement in overall quality, completeness, and accuracy of medical record documentation. Obtains appropriate clinical documentation through interaction with clinic staff to ensure that documentation reflects the level of service rendered to patients.
  • Identifies, compiles and codes patient data, using ICD-10CM and other standard classification coding systems.
  • Works closely with clinical and HRDD leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding.
  • Releases information to requesting persons and agencies according to regulations.  Protects the security of medical records to ensure that confidentiality is maintained.
  • Attends meetings with HRDD and coding departments as necessary to review records and new procedures and to keep abreast of CMS updates.
  • Assists in the creation of educational materials for coders, HRDD managers and clinical personnel.
  • Provides support to HRDD managers in different markets as required to improve accuracy in each market’s Medicare Risk Adjustment.
  • Performs other duties as assigned and modified at manager’s discretion.

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

KNOWLEDGE, SKILLS AND ABILITIES:

  • In depth understanding of Medicare Risk Adjustment, compliance and requirements, and coding guidelines
  • Understanding of clinical disease definitions and guidelines for identification
  • Strong communication skills and ability to converse and collaborate with clinicians and other company leadership
  • Should possess the analytical skills necessary to identify trends, inconsistencies and inaccuracies
  • Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software
  • Ability and willingness to travel locally, regionally and nationwide up to 25% of the time
  • Excellent communication skills with spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA:

  • Associate Degree preferred
  • Minimum three (3) years in coding, Medicare Advantage and experience in communication with medical providers may substitute for formal education
  • Certified Professional Coder and/or Certified Risk Coder (AAPC or AHIMA) preferred

The High Risk Disease Detection (HRDD) Specialist is responsible for compiling, abstracting and maintaining medical records to document patient condition and treatment. Ensures that all patient documents and records are maintained in accordance with legal, Centers for Medicare and Medicaid Services (CMS) and confidentiality guidelines.

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Life at ChenMed

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Culture We’re working together to build strong communities inside and outside.
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Benefits ChenMed sees the whole person and looks to support your well-being.
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Meet Our Team

Nestor Arias
“I love that I get to teach our clinicians and non-clinicians things that I am passionate about...I also love working for a company that truly improves the quality of life for our seniors.” Nestor Arias, Senior Training Specialist
“I truly love ChenMed’s vision and mission. It’s the right way to treat patients and the way I treat my family.”

David Guerra MD, Medical Director

David Guerra MD
Backy Miller
“I came to ChenMed because it fulfills my purpose as a person. Those who work for this company are very special, and they have the opportunity to do something life-changing.” Lynette Acosta, Center Manager

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