24/03/2021
Vacant Post: Clinical Documentation Specialists:
Job Summary:
The Clinical Documentation specialist is responsible for reviewing medical records, interacting with the USA clinicians and team to ensure that the documentation that is being done is appropriately showing the complete clinical picture and capturing all the necessary services/care that needs to be provided to the patient. This position applies clinical and USA health care Insurances knowledge to assess and aid the practice in improving overall clinical documentation which are compliant with national and local Insurance policies and meet standards of highest medical care.
Key Performance Indicators
1. Ability to review Medical records in a timely and accurate manner
2. Excellent interpersonal and communication skills and strong attention to detail
3. Understanding of Medicare, Medicaid and Commercial insurances regulations
Key Duties/Responsibilities/Accountabilities
1. Meets performance standards, quality measures, and production standards
2. Prioritizes workload
3. Reviews, researches, and analyzes medical records
4. Collaborates with peers and leadership
5. Maintains clinical and Insurances related knowledge
6. Attends and actively participates in meetings
7. Provides recommendations for action based on reviews
8. Evaluates processes and communicates necessary enhancements
9. Serves as a resource for the team
10. Enhances and develops processes
11.May perform quality/accuracy reviews
12. Other duties as assigned
Minimum Qualifications
1. The person should have Medical background (MBBS)
2. Past experience of working in USA health care will be is desirable.
3. Demonstrated prioritization, problem solving, and organizational skills.
4. Strong computer skills including Microsoft Office.
5.Excellent communication skills.
Preferred Qualifications for above requirements:
1. 0 to 2 Years of experience in similar domain
2. Knowledge of Medicare/Medicaid/Commercial insurance regulations
3. CCDS, CDEO, CP other coding certification or willingness to obtain it within 2 years (dependent upon department needs)
Duty Timings:
8:00 AM t0 5: 00 PM IST