• Job Description

  Req#: 534411

  Do you want...

  To make a difference in saving lives?
  Work-Life Balance?
  The chance to grow professionally?

  If so, Wound Care Advantage is the place to be!

  Please Note: This position requires that you reside in the United States and be legally eligible to work in the U.S. Being located in the Los Angeles area is a plus, but not required.

  This is a full-time, Monday through Friday position, scheduled for 40 hours per week.

  JOB SUMMARY:

  Under the supervision of the Director of Documentation Integrity, the Full Time Clinical Documentation Review Specialist/Medical Document Quality Reviewer is responsible for reviewing clinical documentation for completeness, accuracy, and compliance. You’ll conduct both concurrent and retrospective reviews, communicate with clinical teams to clarify documentation, and ensure all records meet coding and regulatory standards.

  KEY JOB AREA: TASKS, DUTIES, AND RESPONSIBILITIES

  • Review clinical and physician documentation daily and quarterly as directed
  • Ensure proper support for ICD-10 and CPT codes in documentation
  • Review documentation based on LCD/NCD and NCCI edits per region
  • Evaluate chief complaint, physical exam, HPI, ROS, history, medications, allergies, procedures, and clinical findings
  • Communicate with clinicians to clarify or query documentation as needed
  • Accurately enter review findings into Luvo® Lighthouse and submit reports within required timeframes
  • Maintain up-to-date knowledge of regional LCD/NCD and NCCI edits
  • Collaborate with regional team members on documentation concerns and improvements
  • Maintain confidentiality and compliance with HIPAA guidelines
  • Perform additional related duties as assigned

  QUALIFICATIONS

  • High school diploma or equivalent required
  • Previous Clinical Documentation Improvement (CDI) experience is preferred but not required.
  • RN license encouraged, but not required.
  • Ability to multi-task and communicate consistently in a professional manner
  • Knowledge of billing and coding preferred
  • Understanding of medical terminology used in clinical settings
  • Ability to read and review medical charts in an electronic health record (EHR) system
  • Adequate computer skills and comfort viewing digital content for extended periods of time

  ** WHEN SUBMITTING YOUR RESUME, YOU MUST INCLUDE A COVER LETTER IN ORDER TO BE CONSIDERED**

  WHAT CAN WE DO FOR YOU?

  • Multiple health plan options for you and your dependents.
  • Excellent Company Culture that Promotes Work Life Balance
  • Advancement and Growth Opportunities
  • On the Job Training
  • Opportunities for Educational Reimbursement
  • Generous Time Off package, including: Up to 9 Days of Paid Sick Leave, 3 weeks of PTO, 7 Paid Holidays per year, 5 Float days per year, and 4 Volunteer Days.
  • Additionally, a company, we are pro-active members of the community, and offer our FT employees 4 volunteer days per year. Get paid to contribute to a cause you believe in!
  • Employee Assistance Program- We understand that life happens, our EAP program offers real support for real life problems.
  • …and so much more!

  Check out our Blog link below to learn more about why you want to work with us!
  https://thewca.com/2022/04/13/the-best-place-to-work-in-wound-care/

  
  

• About the company

  We are advocates for the financial independence of partner hospitals and the rapid healing of the patients they serve.

Notice