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Senior Clinical Documentation Manager

hace 1 semana


Alajuela, Alajuela, Costa Rica 3M A tiempo completo

**Job Description:**

We are seeking a senior clinical documentation manager to oversee the evaluation and routing of US-centric clinical documentation. The successful candidate will have a strong understanding of clinical documentation requirements, wound management principles, and medical terminology. Additionally, knowledge of US healthcare billing rules and regulations, as well as post-acute market knowledge, including home health agencies, skilled nursing facilities, and wound care centers, is highly desirable.

Responsibilities:

  1. Evaluate and route incoming clinical documentation to the appropriate team
  2. Follow up on online authorization requests timely and escalate any anomalies
  3. Manage volume of outbound calling to patients to obtain correct caregiver information
  4. Develop and implement process improvements to increase efficiency and productivity
  5. Motivate, coach, and develop team members to achieve team metrics, forecasts, and goals

Requirements:

  • Two years of successful operations leadership experience in a private, public, government, or military environment
  • Strong understanding of clinical documentation requirements and wound management principles
  • Knowledge of US healthcare billing rules and regulations