What are the responsibilities and job description for the Clinical Documentation Specialist (Personal Care Experience Required) position at Lafayette Home Office?
Responsible for review of clinical documentation to ensure documentation in the visit note supports a skill was provided and services are medically necessary. They must be able to communicate effectively, while influencing and motivating company personnel who do not directly report to the Documentation Specialist.
Licensed Practical/Vocational Nurse, Licensed Registered Nurse, Licensed Physical Therapist, Licensed Physical Therapist Assistant, Licensed Occupational Therapist, Certified Occupational Assistant, Licensed Speech Language Pathologist, or Social Worker.
Personal Care Experience Required
- Consistently engages with clinicians to improve accuracy of documentation, ensures that documentation supports a skill was provided and supports medical necessity
- Reviews clinical notes as assigned and scores notes in scoring tool.
- Meets or exceeds productivity expectations
- Consistently produces accurate and reliable reviews, maintaining high standards of quality
- Effective verbal and written communication skills.
- Identified educational trends and discusses with Clinical Director and Director of Quality and Clinical Informatics to further train/educate staff and improve documentation. Reports to supervisor and operational leadership any continued lack of improvement or engagement from clinicians.
- Assists with reviews during state audits as needed
- Other duties as assigned.
Licensed Practical/Vocational Nurse, Licensed Registered Nurse, Licensed Physical Therapist, Licensed Physical Therapist Assistant, Licensed Occupational Therapist, Certified Occupational Assistant, Licensed Speech Language Pathologist, or Social Worker.
1 year of personal care experience required.
