What are the responsibilities and job description for the Clinical Documentation Specialist position at LHC Group?
Summary
Responsible for review of clinical documentation to ensure documentation in the visit note supports a skill was provided and services are medically necessary. Must be able to communicate effectively, while influencing and motivating company personnel who do not directly report to the Documentation Specialist.
Responsibilities
- 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.
Education and Experience
Job Qualifications:
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 home health/hospice experience required.
Company OverviewLHC Group is committed to a culture of diversity, equity and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.
LHC Group Inc Home Office a part of LHC Group family of providers – the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: It's all about helping people.
