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Clinical Documentation Manager
Zotec PartnersClinical Documentation Manager focusing on documentation accuracy at Zotec. Collaborating with healthcare professionals and educating providers in a remote setting.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive knowledge of CPT, ICD-10-CM, and HCPCS coding guidelines, along with strong communication and organizational skills to educate clinicians and ensure accurate clinical documentation. Proven ability to collaborate with healthcare professionals and coding staff to enhance coding accuracy and compliance.
Highest-signal resume keywords
Coding CertificationCPT, ICD-10-CM, HCPCS Coding GuidelinesClinical Documentation Integrity SpecialistMedical Terminology and Clinical ProceduresEmergency Department Workflow
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Chart AuditingCoding of Professional ComponentCoding of Facility ComponentMIPS Quality ReportingCoding Updates and Refresher TopicsMedical Record ReviewCorrective Action PlansCoding Queries ResponseClient Start-Ups AssistanceSpecial Audits
Soft Skills
Exceptional Oral CommunicationExceptional Written CommunicationStrong Organizational SkillsProblem-Solving SkillsFlexible Mentality
Tools & Technologies
ExcelWord
Certifications & Qualifications
Coding CertificationAssociate or Bachelor’s Degree in Healthcare-Related Field
Industry Keywords
Medical Record DocumentationClinical Documentation ImprovementPayor-Specific Coding PoliciesHealthcare Professionals CollaborationCoding Accuracy
About the role
Key responsibilities & impact- Perform concurrent and retrospective review of the medical record
- Educate clinicians to ensure the documentation accurately reflects the condition(s) and treatment(s) of the patient
- Respond to coding queries and contribute to the development and training of coding staff
- Communicate and educate providers concerning accurate clinical documentation
- Collaborate with healthcare professionals to ensure accurate documentation in the medical record
- Educate Emergency Medicine providers regarding clinical documentation improvement
- Partner with coding professionals to ensure accuracy of diagnostic and procedural data
- Review/audit of medical records to determine correct coding and corrective action plans
- Provide ongoing training including coding updates and refresher topics
- Address client issues/questions regarding coding
- Assist in new client start-ups from a coding documentation perspective
- Perform special audits as requested
- Work as an involved team member with the goal of achieving excellent coding accuracy
Requirements
What you’ll need- Minimum of 5 years coder training and/or chart auditing experience for coding of the professional (physician) component required and coding experience of the facility component (hospital) also preferred
- Experience as clinical nurse or a Clinical Documentation Integrity Specialist
- Versed in medical terminology and clinical procedures
- Understanding of the workflow in the Emergency Department
- Awareness of payor-specific coding/reimbursement policies
- Coding certification required
- Associate or bachelor’s degree in healthcare-related field
- Extensive knowledge of CPT, ICD-10-CM and HCPCS coding guidelines as well as MIPS Quality Reporting
- Excel and Word experience required
- Exceptional oral and written communication skills
- Strong organizational and problem-solving skills
- Flexible mentality: willing and capable of performing varied tasks
- Ability to work in a team driven environment
Benefits
Comp & perks- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development