Clinical Documentation Review Specialist

🕒 April 29

🥔 Idaho – Remote

🥔 Idaho – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2016

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Pennant is a company dedicated to providing healthcare services, with a focus on life-changing service, culture, and leadership. They support independent operating subsidiaries that offer home health care, hospice, assisted living, independent living, and memory care. Their mission is to empower local leaders with resources and tools to deliver high-quality care. Pennant operates 103 home health and hospice agencies and 51 senior living communities across several U. S. states, including Arizona, California, and Texas. They emphasize a strong company culture guided by core values that prioritize customer service, accountability, and intelligent risk-taking.

📋 Description

• Conduct detailed home health and hospice pre-billing reviews to support Portfolio partners and their agencies. • Identify discrepancies, missing information, and opportunities for documentation improvement. • Utilize information gathered to provide education and facilitate alterations to the HCHB documentation, and process improvements to prevent recurrence. • Direct agencies to use documentation data outcomes for QA improvements. • Ensure documentation accurately reflects the patient’s clinical status and the care provided. • Set up meetings with clinical leaders to provide education, highlight findings, and make documentation recommendations. • Stay current with practices in both home health and hospice fields and suggest educational and resource materials which would be beneficial to the staff. • Recommend new approaches to on-going continued improvements to policies, procedures, and documentation. • Identify trending issues and share them with the team and the clinical leaders. • Stay up to date with all federal, state, and local regulations, as well as organizational policies and procedures to ensure compliance. • Work within and be comfortable with HCHB, PDF-Xchange, Excel, and Smartsheet.

🎯 Requirements

• Registered Nurse or related licensure highly preferred. • Significant experience and knowledge of Home Health, and/or Hospice environment, typically gained by five or more years of industry-related experience. • Knowledge of Medicare and Medicaid Regulations. • Strong sense of autonomy and confidence when working independently but will also be a team player. • Demonstrates initiative in researching and resolving issues. • Able to discern areas in need of continued improvement. • Detail and deadline oriented with the ability to prioritize and multitask. • Able to adapt to a fast-paced environment and learn and retain new or evolving information and procedures. • Able to collaborate with physicians and healthcare providers to clarify clinical documentation and obtain additional information when necessary. • Flexible and responsive to changing business needs.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible working hours • Paid time off • Professional development opportunities