What are the responsibilities and job description for the Clinical Documentation Specialist (PTA), Home Health, Quality Assurance position at Capitol Home Health - Clinical/Field?
WHY JOIN US?
Capitol Home Health is a family-owned and operated healthcare agency that is proud to serve Central Texas. We have offices in Austin, Temple and San Antonio. We have earned the ACHC accreditation, the gold star standard in the healthcare industry, demonstrating that quality patient care is the core value of our agencies!
Capitol has received the Best Companies to Work for in Texas award from 2014 to 2024! Capitol not only excels in patient care, but also in employee care. Together, we make a difference in our community
JOB DESCRIPTION SUMMARY
The Clinical Documentation Specialist is responsible for maintaining support of clinical documentation including management of accuracy, improvement, and completeness of documentation.
BENEFITS
- Health, Dental, Vision, Short- and Long-Term Disability, Life Insurance and more
- Over 20 paid days off per year consisting of PTO, sick time, birthday and holidays
- Fully vested 401(k) with up to 4% company match
- And more!
QUALIFICATIONS
- Physical Therapist Assistant (PTA) with current and unencumbered license to practice in the state of employment.
- Associates' degree in Physical Therapist Assistant (PTA) from an accredited program, required.
- Minimum of three (3) to five (5) years' experience in clinical documentation review; experience in home care operations, preferred.
- Prior experience using Microsoft Office Suite and electronic medical documentation software.
- Proficient in medical terminology.
- Superior time management and organizational skills.
- Ability to communicate effectively and efficiently with clinicians and administrative staff.
- Access to reliable transportation.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
- Demonstrates knowledge of clinical documentation practices.
- Improves the overall quality of clinical documentation and thoroughness to ensure that appropriate reimbursement is received for the correct level of service rendered to all patients.
- Supports the accuracy and completeness of clinical information used for measuring and reporting outcomes.
- Follows all safety rules. Reports all accidents and safety hazards identified in clinical documentation within the established time-frames to appropriate managers.
- Conducts follow up reviews of clinical documentation to ensure points of clarification have been recorded in the patient record.
- Identifies opportunities for performance improvement based on reliable data trending; recognizing and analyzing undesirable patterns or trends in performance.
- Participates in performance improvement activities as requested. Effectively utilizes software applications.
- Accountable for accurate and timely review of documentation and meeting caseload requirements.
- Assists with special projects as needed.
