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

Temple Health; Philadelphia (Philadelphia County); Presencial; USD 55.000 - 75.000; Jornada completa

Descripción de la vacante

Temple University Health System, Inc. seeks a Clinical Documentation Specialist to accurately translate clinical documentation from EMR to payer-specific systems. The role involves ensuring timely compliance with payer guidelines and maintaining complete patient records.

The ideal candidate should have an Associate's Degree and a minimum of 3 years in clinical documentation or related experience. Preferred certifications include Certified Professional Coder and Certified Risk Adjustment Coder. Join us to improve patient care and revenues!

Formación

• Experience in clinical documentation, billing, and coding.
• Strong understanding of medical diagnoses and medications.
• Ability to provide feedback for provider education.

Responsabilidades

• Transcribe and reconcile clinical documentation from EMR.
• Ensure patient records compliance with payer guidelines.
• Provide feedback for improvement and education.

Conocimientos

ICD-10 proficiency

Clinical documentation accuracy

Medical coding

Patient record compliance

Educación

Associate’s Degree or relevant experience

Descripción del empleo

Clinical Documentation Specialist

Responsible for accurately transposing and reconciling clinical documentation from the EMR into payer‑specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. The role requires 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. Must be ICD‑10 proficient.

Education

• Associate’s Degree required or a combination of relevant education and experience may be considered in lieu of a degree.

Experience

• 3 years of experience in clinical documentation, billing and coding, or health information management required.

Licensing and Certifications

• Certified Professional Coder (preferred)
• Certified Professional Medical Auditor (preferred)
• Certified Risk Adjustment Coder (preferred)

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.