
Professional in Medical Record Documentation
5 days ago
The role of the Healthcare Documentation Specialist involves meticulous review and validation of medical records to ensure accuracy, completeness, and compliance with industry standards.
Main Responsibilities:
- Retrieve, examine, and analyze patient medical records for signatures and diagnostic test orders.
- Evaluate and update provider information, dates of service, CPT codes, diagnoses, and modifiers according to established coding guidelines, payer specifications, and client requirements.
- Communicate documentation discrepancies or issues hindering compliant coding practices.
- Pursue ongoing education and stay current with the latest healthcare updates.
- Maintain active coding credentials through submission of continuing education units (CEUs) and certification renewals.
Requirements:
- Active and valid coding certifications.
- Able to learn and adapt to new coding rules and industry advancements.
- Exceptional communication and problem-solving skills.
Benefits:
- Ongoing professional development opportunities.
- Collaborative work environment.
- Recognition and rewards for outstanding performance.
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