Clinical Documentation Manager
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AI Summary
The Clinical Documentation Manager performs concurrent and retrospective reviews of medical records to ensure accurate documentation of clinical conditions and procedures. They provide education to clinicians and coding staff to ensure compliance with Medicare and other payor guidelines.
At Zotec Partners, our People make it happen.
Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – the men and women across the country who make up our diverse Zotec family and help make this company a best place to work.
Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers.
We’re seeking a Clinical Documentation Manager to join us. This is a remote position.
As a Clinical Documentation Manager, you will perform concurrent and retrospective review of the medical record, provider education, and educate clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflect the condition(s) and treatment(s) of the patient. You will also respond to coding queries and contribute to the development and training of coding staff. Primary duties are to ensure that documentation reflects the appropriate CPT and ICD-10 assignment in accordance with Medicare or other payor guidelines and provide constructive, educational feedback to the providers and/or coders.
What you’ll do:
Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – the men and women across the country who make up our diverse Zotec family and help make this company a best place to work.
Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers.
We’re seeking a Clinical Documentation Manager to join us. This is a remote position.
As a Clinical Documentation Manager, you will perform concurrent and retrospective review of the medical record, provider education, and educate clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflect the condition(s) and treatment(s) of the patient. You will also respond to coding queries and contribute to the development and training of coding staff. Primary duties are to ensure that documentation reflects the appropriate CPT and ICD-10 assignment in accordance with Medicare or other payor guidelines and provide constructive, educational feedback to the providers and/or coders.
What you’ll do:
- Communicate and educate providers concerning accurate clinical documentation
- Collaborate with healthcare professionals to ensure the severity of illness and level of care provided are accurately reflected in the medical record and to resolve physician queries and documentation issues
- Educate Emergency Medicine providers regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record
- Partner with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the appropriate CPT assignment.
- Review/audit of medical records to determine correct coding and corrective action plans, including education via email, phone call or Zoom
- 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
- Support other offices/departments as necessary on the above noted functions
- Actively participate in coding committees, conference calls and meetings
- Other duties as assigned
- 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
At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you!
Learn more about our organization, by visiting us at www.zotecpartners.com
E-Verify and Equal Opportunity Employer
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