Clinical Coding and Documentation Specialist Job
West Palm Beach, FL 23722

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Now Hiring: Clinical Coding and Documentation Specialist position

MD Now is the largest provider of urgent care in Florida with over 50 clinics serving patients in Palm Beach, Broward, Miami-Dade and Indian River Counties. MD Now is seeking bright, talented individuals who share in our commitment to making a positive difference for the patients and our communities. If you are passionate about growing your career in a fast-paced environment, and have an enthusiastic “have fun” attitude, we’d love to meet you!

MD Now’s team members use our drive to energize, engage, and inspire each other and our communities every day. MD Now boasts a diverse team who work together to deliver exceptional medical care and embrace continuous improvement.

• Implements organization-wide coding and clinical documentation integrity program in an organized and standardized manner;
• Performs MD Now Urgent Care center chart audits and provides feedback and education related to audit results;
• Facilitates appropriate clinical documentation to support diagnosis capture, specificity, and accuracy;
• Oversees processes requiring clinical knowledge and knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity and risk;
• Serves as an expert resource in reviewing all medical records in support of consistent documentation for all payer types to ensure complete and accurate diagnosis capture and coding;
• Conducts quality assurance reviews pertaining to coding, processes and functions resulting in the reporting of any corrective action;
• Acts as liaison between MD Now Urgent Care and the physicians and other clinical staff in an attempt to increase awareness of documentation guidelines in relation to reimbursement;
• Reviews and monitors new and updated coding guidelines and advises key members of MD Now Corporate leadership if any of the coding guidelines affect physician documentation;
• Supports and provides clinical coding and documentation training and education;
• Reviews concurrent medical records for compliance including completeness and quality using the Compliant Documentation Management Program (CDMP) documentation strategies and Patient Safety;
• Knowledge of structure and content of the Electronic Health Record (EHR) displaying ability and competency to navigate the EHR accurately and efficiently for data quality collection and code-assignment


Required Qualifications:
• CPC (Certified Professional Coder) or similar credentials
• Five (5) years experience coding medical records in an Urgent Care center setting or Emergency Medicine group practice/hospital setting. Additional experience in procedural clinical coding a plus.
• Prior clinical documentation improvement experience
• Ability to work independently, self-motivate, and adapt to the changing healthcare arena
• Excellent verbal and written communication skills, analytical thinking and problem solving with strong attention to detail
• Proficiency in organizational skills and planning with an ability to juggle multiple priorities in a fast-changing environment
• Proficiency with computer use specifically Microsoft Office Suite (e.g. Microsoft Word, Excel, PowerPoint)
• Knowledge of federal, state and private payer regulations as well as applicable organizational policies and procedures
• Ability and willingness to seek out changes in healthcare reform and coding regulations, then incorporate those changes into chart review and educational responsibilities

Job Type: Full-time

• Clinical Coding and Abstracting: 5 years (Required)

• Certified Professional Coder (CPC) or equivalent certification (Required)

Work Location:
• Palm Beach (Palm Beach Lakes Blvd)

Key Attributes:
• Detail-oriented -- quality / performance improvement and precision-focused
• Outcome-oriented -- results-focused with strong performance culture
• Team-oriented -- cooperative and collaborative
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