Clinical Documentation Review Specialist
Pennant
full-time
Posted on:
Location Type: Remote
Location: Connecticut • Idaho • United States
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About the role
- Conduct detailed home health and hospice pre-billing reviews to support Portfolio partners and their agencies.
- Identify discrepancies, missing information, and opportunities for documentation improvement.
- Utilize information gathered to provide education and facilitate alterations to the HCHB documentation, and process improvements to prevent recurrence.
- Direct agencies to use documentation data outcomes for QA improvements.
- Ensure documentation accurately reflects the patient’s clinical status and the care provided.
- Set up meetings with clinical leaders to provide education, highlight findings, and make documentation recommendations.
- Stay current with practices in both home health and hospice fields and suggest educational and resource materials which would be beneficial to the staff.
- Recommend new approaches to on-going continued improvements to policies, procedures, and documentation.
- Identify trending issues and share them with the team and the clinical leaders.
- Stay up to date with all federal, state, and local regulations, as well as organizational policies and procedures to ensure compliance.
- Work within and be comfortable with HCHB, PDF-Xchange, Excel, and Smartsheet.
- Consistently promote CAPLICO
Requirements
- Registered Nurse or related licensure highly preferred.
- Significant experience and knowledge of Home Health, and/or Hospice environment, typically gained by five or more years of industry-related experience.
- Knowledge of Medicare and Medicaid Regulations.
- Strong sense of autonomy and confidence when working independently but will also be a team player.
- Demonstrates initiative in researching and resolving issues.
- Able to discern areas in need of continued improvement.
- Detail and deadline oriented with the ability to prioritize and multitask.
- Able to adapt to a fast-paced environment and learn and retain new or evolving information and procedures.
- Able to collaborate with physicians and healthcare providers to clarify clinical documentation and obtain additional information when necessary.
- Flexible and responsive to changing business needs.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
home healthhospiceclinical documentationpre-billing reviewsdocumentation improvementquality assuranceregulatory complianceMedicare regulationsMedicaid regulationsprocess improvement
Soft Skills
autonomyteam playerinitiativedetail orienteddeadline orientedprioritizationmultitaskingadaptabilitycollaborationflexibility
Certifications
Registered Nurse