Clinical Documentation Reviewer

Responsibilities

The Clinical Documentation Reviewer will provide real-time documentation support to healthcare providers before and after patient encounters, ensuring accurate and complete documentation of patient diagnoses, treatments, and procedures. They will clarify and query providers for additional information, work closely with physicians and APPs to improve documentation practices, review patient charts to identify gaps in documentation and coding, conduct training sessions for providers on documentation best practices, and stay updated on coding guidelines, regulatory requirements, and clinical trends while ensuring compliance with ICD-10 and CMS coding guidelines.