
Clinical Documentation Specialist, Professional Fee (Remote)
Are you a detail-oriented and organized individual with a passion for healthcare? Do you have experience in medical coding and documentation? University Hospitals of Cleveland Medical Center is seeking a Clinical Documentation Specialist for Professional Fee to join our team remotely. As a specialist, you will play a crucial role in ensuring accurate and timely clinical documentation for professional fee services. Your expertise will directly impact the quality of patient care and reimbursement for the organization. If you are looking for a challenging and rewarding career in the healthcare industry, we encourage you to apply. This position requires a minimum of [insert number] years of experience in medical coding and documentation, as well as a [insert relevant certification]. Join us in our mission to provide exceptional patient care and make a difference in the lives of our community.
- Review and analyze medical records to ensure accuracy and completeness of clinical documentation for professional fee services.
- Collaborate with healthcare providers to clarify and obtain missing or conflicting information in medical records.
- Utilize coding guidelines and regulations to accurately assign codes to medical procedures and services.
- Identify and report any potential areas of non-compliance or documentation deficiencies to management.
- Maintain a thorough understanding of medical coding and billing regulations and updates.
- Serve as a resource for healthcare providers and staff on documentation and coding guidelines.
- Conduct regular audits of clinical documentation to ensure compliance with coding guidelines and regulations.
- Communicate with insurance companies to resolve any coding or documentation issues that may affect reimbursement.
- Participate in training and education programs to stay current on best practices in medical coding and documentation.
- Maintain confidentiality and adhere to HIPAA regulations at all times.
- Utilize electronic health record systems and coding software to accurately document and code medical records.
- Work closely with billing and coding departments to ensure accurate and timely submission of claims.
- Complete all documentation and coding tasks within established timelines and quality standards.
- Continuously seek opportunities for process improvement and provide suggestions to optimize clinical documentation practices.
- Represent the organization in a professional manner and promote a positive image of University Hospitals of Cleveland Medical Center.
Bachelor's Or Associate's Degree In Health Information Management Or Related Field
Certified Coding Specialist (Ccs) Or Certified Professional Coder (Cpc) Credential
Minimum Of 3 Years Of Experience In Clinical Documentation Improvement, Coding, Or Auditing
Knowledge Of Icd-10-Cm, Cpt, And Hcpcs Coding Guidelines And Regulations
Familiarity With Electronic Health Record Systems And Clinical Documentation Software
Documentation
Quality Assurance
Data Analysis
Audit
Compliance
Billing
Revenue cycle management
Medical coding
Cpt Coding
Electronic Health Records (Ehr)
Icd-10 Coding
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
flexibility
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Clinical Documentation Specialist, Professional Fee (Remote) in Cleveland, OH, USA is $55,000 - $80,000 per year. However, this can vary depending on factors such as experience, education, and specific job responsibilities.
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University Hospitals of Cleveland is a major not-for-profit medical complex in Cleveland, Ohio, United States. University Hospitals Cleveland Medical Center is an affiliate hospital of Case Western Reserve University–a relationship first established in 1896.

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