Clinical Documentation Specialist

Role & responsibilities

• Review and summarize patient medical records and clinical notes.
  
• Ensure accuracy and completeness of clinical documentation.
  
• Collaborate with billing and coding teams for data clarification.
  
• Maintain confidentiality and adhere to HIPAA compliance.
  
• Meet daily quality and productivity targets.
  
• Learn and work efficiently on EHR/EMR systems.
  
• Manage patient billing and claims submission processes accurately and timely.
  
• Monitor and follow up on unpaid claims, denials, and rejections.
  
• Coordinate with insurance companies for claim status and resolution.
  
• Verify patient insurance coverage and eligibility before service delivery.
  
• Maintain and update billing systems with accurate patient information.
  
• Prepare and submit appeals for denied claims.

Preferred candidate profile

• Strong analytical and problem-solving skills.
  
• Excellent communication and interpersonal abilities.
  
• Attention to detail and high level of accuracy.
• Knowledge of ICD-10, CPT codes, and healthcare insurance processes.
• Freshers or recent graduates with a keen interest in medical documentation / billing are encouraged to apply.