Clinical Documentation Reviewer Job in
- Kpr sugar apperals
- 2 to 6 Yrs
- Ahmedabad
- 3 months ago
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Job Description
- Key Responsibilities Review and Audit Documentation: Analyze clinical documents such as patient records, medical charts, and progress notes to ensure they align with the diagnoses and procedures coded in the billing system. Documentation Accuracy: Verify that the documentation meets the necessary standards for coding, ensuring that all necessary details, including patient history, treatment plans, diagnoses, and procedures, are clearly outlined and support billing requirements. Collaboration with Providers: Work with healthcare providers and clinical teams to clarify documentation issues and provide feedback to improve the accuracy and completeness of clinical records. Training and Education: Provide training and guidance to healthcare providers and coding staff on best practices for clinical documentation and how to avoid common documentation errors. Identify Documentation Gaps: Detect and report any gaps in clinical documentation that may impact billing, claims processing, and reimbursement. Audit and Monitor Billing Submissions: Conduct audits of clinical records to identify potential discrepancies between the documented services and the coded data, ensuring proper coding for accurate billing. Denial Management: Assist in resolving billing denials by reviewing clinical records, identifying documentation deficiencies, and suggesting corrective actions to facilitate successful claims resubmission. Maintain Documentation Standards: Keep up-to-date with changes in medical billing, coding, and documentation standards to ensure the highest level of accuracy and compliance. Share with someone awesome View all job openings,
Employement Category:
Employement Type: Full timeIndustry: Medical / HealthcareRole Category: Not SpecifiedFunctional Area: Not SpecifiedRole/Responsibilies: Clinical Documentation Reviewer Job inContact Details:
Company: Integrity HealthcareLocation(s): Ahmedabad+ View Contact
Keyskills: Clinical Documentation Medical Coding Healthcare Training Audit Denial Management
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