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

Temple Health – Temple University Health System; Philadelphia (Philadelphia County); On-site; USD 50,000 - 70,000; Full time

Job summary

Temple Health – Temple University Health System in Philadelphia is seeking a Clinical Documentation Specialist responsible for managing clinical documentation accuracies in EMR systems to enhance revenue through proper risk adjustments. You will ensure compliance with payer guidelines and provide essential feedback for provider education.

The ideal candidate should possess strong proficiency in ICD-10 and significant experience in clinical documentation and health management systems. An Associate's Degree or equivalent experience is required.

Qualifications

• 3 years of experience in clinical documentation, billing and coding, or health information management.
• Strong understanding of progress note components and medical conditions.
• Feedback provision for provider education.

Responsibilities

• Transpose and reconcile clinical documentation from EMR into payer systems.
• Ensure patient records are complete and compliant with payer guidelines.
• Provide valuable feedback to management for education and correction.

Skills

ICD-10 proficiency

Clinical documentation

Billing and coding

Health information management

Education

Associate's Degree or relevant experience

Job description

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 manner. 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.