Clinical Documentation Specialist

Job not on LinkedIn

November 26

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

💵 $69.5k - $86.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Prentke Romich GmbH

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Healthcare Insurance • Hardware • Education

Prentke Romich GmbH is a German company specializing in assistive communication tools. Since 1991, it has been providing nationwide solutions for individuals who face communication challenges, such as those with autism, ALS, or other disabilities. The company offers a range of products including dynamic talkers, devices with eye-tracking capabilities, and vocabulary software to enhance communication for non-speaking or partially speaking individuals. As one of the largest providers of such tools in Germany, Prentke Romich focuses on enabling a more self-determined life for its users through technological aids.

51 - 200 employees

⚕️ Healthcare Insurance

🔧 Hardware

📚 Education

📋 Description

• Leads comprehensive reviews of all Medicare-required SLP evaluation reports and related documents, ensuring compliance with coverage criteria for SGDs and accessories, clearly communicating recommended changes to SLPs, AAC Consultants, and funding staff. • Completes targeted documentation reviews for other funding submissions as required by internal criteria to address specific funding-source or billing concerns, to optimize first-pass approval rates, maintaining regulatory compliance, and ensures successful billing. • Designs and delivers education and coaching – both individual and group based to SLPs and AAC Consultants, focusing on best practices and requirements of SGD evaluation report writing standards. • Provides expert guidance, real-time feedback, and support through virtual sessions designed to address specific clinical scenarios. • Develops, implements, and evaluates professional development programs and educational resources that build long-term competency in SGD clinical report writing, fosters best practices, and supports ongoing organizational growth within the organization. • Monitors, researches, and disseminates the latest SGD policy updates and best practices for report writing across all relevant funding sources. • Engages in the internal peer reviews and adverse determination process to support documentation quality and overturn denials. • Monitors and analyzes documentation trends, approval rates, and coaching effectiveness to inform and refine standardized, data-driven workflows. • Collaborates with internal departments to address systemic funding issues, streamline documentation processes, and ensures ongoing alignment with industry best practices and regulatory standards for optimal customer outcomes. • Performs other duties as assigned.

🎯 Requirements

• Master’s Degree in Speech-Language Pathology is required. • Minimum of 3 years of progressive experience in the field of AAC or Assistive Technology is required; experience with PRC-Saltillo communication products is preferred. • Minimum of two years of experience in completing and writing AAC evaluations is required. • Familiarity with Medicare, Medicaid, and commercial payor guidelines is required. • Minimum of one year of experience coaching, training, or mentoring others in best practices is required. • Knowledge of AAC principles and solutions is required. • Experience leading process improvement initiatives is preferred.