Job Description

Clinical Documentation Specialist Location: Melville, NY Salary Range: $70,000-$74,000 Overview: We are seeking an experienced Licensed Practical Nurse (LPN) to join our Melville team as a Clinical Documentation Specialist. This individual utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision-making skills to determine medical appropriateness, while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with LHCSA regulatory standards. ***The position is based full-time (Monday-Friday) on site at our Melville headquarters. Responsibilities: Familiar with DOH/home care regulations and requirements for standards of care related to documentation Responsible for day to day review of clinical nursing notes/documentation and ensuring documentation is placed into correct EHR files for billing and other purposes Participates in continuous quality assurance improvement exercises Assists intake and schedulers home care staff as needed to ensure patient care needs are met Validates completeness and accuracy of patients' eligibility and medical documentation Assist patients with questions and/or concerns regarding benefit coverage and appointment details, as needed Understands that health care delivery is continually evolving, and departmental needs and goals are subject to change, responsibilities may be expanded or restricted at the discretion of our Chief Regulatory Officer and/or Director of Administrative Compliance Other quality assurance duties may be assigned as needed Qualifications: Must have current LPN licensure and maintain eligibility Previous experience in home care setting strongly desired Proficient in Microsoft applications and utilizing EHR systems Demonstrated experience in a QA/compliance role within a clinical setting Detail-oriented and organized Strong verbal and written communication skills Benefits: Health insurance Vision/Dental coverage 401K Short term disability coverage PTO Always Compassionate Home Care provides equal opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or any other non-merit based factors protected federal, state, or local law. All employment related decisions are based solely on relevant criteria including experience and suitability. #J-18808-Ljbffr Always Compassionate

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