Clinical Documentation Expert

3 weeks ago


Fort Worth, Texas, United States Disability Solutions Full time
About the Job

Disability Solutions is hiring a Clinical Documentation Expert to work on complex ambulatory surgery and observation visit medical records. As a key member of our team, you will be responsible for identifying and abstracting specified information from patient medical records and entering data into the electronic health record system for billing and reporting.

Key Responsibilities
  • Coding and abstracting patient medical records to ensure accurate and timely data entry.
  • Maintaining current knowledge of coding and documentation changes, rules and guidelines.
  • Collaborating with physicians and other providers to ensure accurate and compliant documentation.
Requirements
  • RHIA, RHIT or CCS certification is required.
  • A minimum of one year of current and continuous full-time ICD-10-CM & CPT-4 ambulatory surgery, observation, and/or inpatient coding and abstracting experience is necessary.

The estimated salary range for this position is $82,000 - $102,000 per year, depending on qualifications and location.



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