Posted:1 week ago| Platform: SimplyHired logo

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Job Description

Responsibilities

  • Demonstrate clinical expertise with a minimum of 7+ years of inpatient experience.
  • Communicate with providers—verbally or in writing (e.g., formal queries)—to clarify missing, unclear, or conflicting health record documentation, ensuring timely follow-up.
  • Understand and explain the impact of complications, comorbidities, SOI, risk of mortality (ROM), case mix, and procedures on billing and documentation.
  • Collect and analyze documentation findings and outcomes to develop action plans for process improvement. Prepare internal monitoring reports and compile data for reporting.
  • Collaborate with physicians and clinic leadership to develop and monitor key performance indicators for clinical documentation. Provide report explanations to clinical staff as needed.
  • Facilitate communication among coders and providers to identify documentation opportunities that accurately reflect patient acuity and risk.
Skills & Competencies

  • Ability to work independently, self-motivate, and adapt to the evolving healthcare landscape.
  • Strong verbal and written communication skills, analytical thinking, and problem-solving abilities with keen attention to detail.
  • Solid understanding of medical terminology and procedures for evaluating clinical documentation.
  • Excellent organizational and planning skills, with the ability to manage multiple priorities in a dynamic environment.
  • Proficiency in using computers, including databases, spreadsheets, presentation tools, word processing, and internet research.
  • Knowledge of federal, state, and private payer regulations, along with relevant organizational policies and procedures.
  • Commitment to staying informed about changes in healthcare reform and coding regulations, and integrating these updates into chart reviews and educational efforts.

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Eclat Health Solutions logo
Eclat Health Solutions

Hospitals and Health Care

Herndon Virginia

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