Clinical Documentation Specialist

Job Description

This position will be required to work onsite at our Richardson clinic.

Valora Medical Group is a visionary company focused on high-quality primary care services and consists of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family and we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team.

We recognize the hard work that our team members put in and offer competitive pay, excellent benefits, and a dynamic work environment.

We are looking for an experienced Clinical Documentation Specialist to join our Care/Quality Team. As part of the Care Team, this role will have a strong focus on preparing charts for Providers. This position also assists with managing patient care by monitoring treatment plans, educating patients on their conditions, and connecting them with healthcare providers.

Essential Duties and Responsibilities:

Prepare and assemble medical record charting and documentation for the Provider.

Maintain all data and process controls to ensure compliance.

Recording patient's progress including charting referrals, home visits, and other notable interactions

Communicate patient needs to a variety of care team members and follow up accordingly

Manage discharge plans upon completion of treatment

Work collaboratively with patients, families, physicians, and nurses to ensure high-quality care

Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation

Act as the patient's advocate as it relates to insurance coverage and financial assistance

Maintain the patient's comprehensive clinical record through detailed documentation

Coordinate with third-party payors on a regular basis

The overall goal is to improve clinical outcomes, increase patient satisfaction and promote cost-effectiveness

Additional duties assigned by management

Qualifications/Education:

Bachelors degree in Healthcare or related field is preferred

Certified Medical Assistant, or previous experience, is strongly preferred

Bilingual in English and Spanish is required for this clinic location

4+ years experience prepping charts and completing chart audits

Knowledge of chronic diseases, such as COPD/Asthma and, Diabetes

EMR experience is required, eClinicalWorks (eCW) is a plus

Experience with preparing charts and validation of ICD coding

Proficient computer skills including experience with Microsoft Excel

Strong written and verbal communication skills

Excellent written and verbal communication skills

Establish and maintain productive, positive, and cooperative relationships with employees at all levels. Includes resolving interpersonal conflicts, correct misunderstandings or errors, and apply basic staff etiquette in dealing with others

Innovative, motivated, high-energy team player

Strong analytical skills with attention to detail

Organized with the capability to multi-task, prioritize, and meet deadlines in a fast-paced environment

Ability to use independent judgement to evaluate situations and escalate issues appropriately

Ability to handle confidential information with discretion

Ability to learn new procedures and adapt quickly to change

Follow through with commitments

Ability to work independently

Proactive and self-starter

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.Company Description

Valora Medical Group is a team of primary care health professionals working together to improve the lives of the patients and communities we serve.