Clinical Documentation Reviewer Job at The Ship Group Services LLC., Concord, NC

RXJPZkR3T0tKMjhRdzI3enpJUzZmbnBt
  • The Ship Group Services LLC.
  • Concord, NC

Job Description

Position: Clinical Documentation Reviewer

Reports to: Clinical Lead - Outpatient Therapy & Clinical Director.

Status: Part-Time, Hybrid (In-Office 3 Days/Week, 1 Remote Day).

Compensation: $16 - $18 per hour.

Position Overview:

The Clinical Documentation Reviewer is responsible for reviewing and ensuring the accuracy, compliance, and completeness of all clinical documentation for the agency. This role is critical to maintaining Medicaid standards, agency policies, and billing compliance while supporting therapists in improving their documentation.

This role is fully in-office to ensure timely document review and effective communication with therapists and leadership.

Key Responsibilities:  

  • Review all clinical notes, CCAs, treatment plans, and discharge summaries for accuracy and Medicaid compliance.
  • Ensure documentation meets service definitions and medical necessity requirements for billing approval.
  • Track and monitor therapist compliance with documentation deadlines.
  • Provide clear feedback and required corrections to therapists regarding documentation errors or deficiencies.
  • Identify and report documentation trends to the Clinical Lead for training and corrective action.
  • Ensure HIPAA compliance when reviewing and handling clinical records.
  • Collaborate with the Clinical Lead and Clinical Director to maintain documentation quality and compliance standards.
  • Maintain documentation tracking logs to monitor trends and therapist compliance levels.


Expectations & Performance Metrics:

  • Daily review of therapist notes and timely feedback provided.
  • Track and ensure 100% compliance with documentation deadlines.
  • Work collaboratively with therapists to correct documentation errors within a set timeframe.
  • Assist in periodic audits for internal quality control and external Medicaid reviews.
  • Maintain an efficient and organized system for tracking and reporting documentation issues.


Qualifications:

  • Required: Experience in clinical documentation review, Medicaid compliance, or medical records auditing .
  • Preferred: Associate’s or Bachelor’s degree in Social Work, Psychology, Human Services, or a related field.
  • Knowledge of Medicaid billing requirements and service definitions.
  • Proficiency in Electronic Health Record (EHR) systems.
  • Strong attention to detail and ability to meet deadlines.


Why Join Us?

  • Fully in-office role for structured workflow and team collaboration.
  • Competitive pay with clear performance expectations.
  • Opportunity to enhance Medicaid compliance knowledge and quality assurance skills.
  • Key role in ensuring accurate and timely billing approvals for the agency.

About The Ship Group Services LLC.:

The Ship Group Holdings is dedicated to advancing lives and empowering individuals to deliver exceptional customer experiences daily. With operations spanning two countries and over seven years of service, we have successfully launched more than 20 community initiatives, achieving a 98% client satisfaction rate. Our diverse network includes brands such as Resolute Home Care, TSG Transportation, The Black Therapy Network, and TSG Behavioral Health & Community Services, all committed to fostering growth and development among our employees and the communities we serve.

Job Tags

Hourly pay, Part time, 3 days per week,

Similar Jobs

Cynergy Rehab Group/Arkids Pediatric Day Centers

Pediatric Outpatient Administrative Assistant Job at Cynergy Rehab Group/Arkids Pediatric Day Centers

 ...and detail-oriented individual to join our team as a Pediatric Outpatient Administrative Assistant. In this role, you will be responsible for providing administrative...  ...coordinating with healthcare professionals, managing medical records, and maintaining a pleasant and welcoming... 

Dal-Tile

Salesforce Administrator - (FT) Job at Dal-Tile

 ...The Salesforce Administrato r is an established performer that works to support the implementation, optimization, and maintenance...  ...upgrades and Salesforce release testing. Responsible for CRM administrative functions including, but not limited to customer support,... 

Qualcomm

CPU Post-Silicon Validation Engineer - Multiple Levels Job at Qualcomm

 ...Roles and Responsibilities: Work with CPU design and...  ...bring up. ~ Implementation of assembly, C/C++ language embedded firmware...  ...qualcomm.com or call Qualcomm's toll-free number found here. Upon...  ...support your success at work, at home, and at play. Your recruiter will... 

SwiftSpeed Deliveries LLC

Delivery Drivers/Amazon DSP Job at SwiftSpeed Deliveries LLC

 ...SwiftSpeed Deliveries is a locally owned and operated Amazon DSP dedicated to providing exceptional delivery service to our community. Drive with us Apply Today! Job Description Are you a delivery driver ready to hit the road and grow your career... 

Ace It Careers

QA Tester - Remote Job at Ace It Careers

 ...Are you ready to kick off your career in Quality Assurance? At Ace IT Careers, we are excited to...  ...opportunity for aspiring QA Testers to work remotely with leading tech companies. This...  ...internet connection and suitable home office setup. Self-motivated with the...