Clinical Documentation Specialist 40 hrsTemple Physicians Inc

Temple Health; Huntingdon Valley (PA); On-site; USD 60,000 - 80,000; Full time

Job summary

Temple Health seeks a risk-adjustment specialist to accurately transpose and reconcile clinical documentation from the EMR into payer systems, ensuring data supports diagnoses and revenue. Strong ICD-10 proficiency and knowledge of progress notes are required to maintain compliant records for payer guidelines.

The role includes providing feedback to management for provider education and correction, helping optimize documentation practices.

Qualifications

• 3 years experience in clinical documentation, billing and coding.
• Must be ICD-10 proficient.
• Education: Associate degree or equivalent experience.

Responsibilities

• Transpose and reconcile clinical documentation from the EMR into payer systems.
• Provide feedback to management for provider education and correction.
• Ensure patient records are complete and compliant with payer guidelines in a timely manner.

Skills

ICD-10 proficiency

Clinical documentation

Education

Associate degree

Job description

Overview
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 matter. 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
Cert Risk Adjustment Coder Preferred

Required Skills

Required Experience