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

Baylor College of Medicine

Pediatric Otolaryngology (ENT) Physician Assistant - San Antonio, Texas Job at Baylor College of Medicine

 ...San Antonio, serves as a focal point for pediatric services throughout the community. In 2...  ...(BCM) to recruit, employ, and oversee physicians and advanced practice providers at...  ...recruit a full-time Instructor-Physician Assistant at CHRISTUS Children's to work in collaboration... 

TLC Healthforce

Travel Registered Nurse PICU Job Job at TLC Healthforce

Step into a pivotal role as a PICU Registered Nurse in Marietta, Georgia, where your clinical mastery and compassionate leadership will help fragile...  ..., unit needs, and your own career goals. A full package of travel and assignment support is provided, including a dedicated 24... 

Alongside Services

Weekend Caregiver Job at Alongside Services

 ...We are looking for a couple part time weekend caregivers who would like to work in a fun and rewarding environment while helping others. Group home setting. Flexible hours available. WE HAVE OPPORTUNITIES IN CHASKA AND WATERTOWN, MN WE ARE OPEN TO DISCUSSING ANY COMBINATION... 

The Horak Companies

Administrative/Executive Assistant Job at The Horak Companies

 ...The Susan Horak Group- Administrative Executive Assistant to the CEO/Owner Pay: $20 - $25 per hour (commensurate with experience) Benefits: Paid...  ..., Sick Time, and Company reimbursement toward qualified medical insurance premiums Job Type: Full-Time Job... 

GliaCell Technologies

Junior Web Developer Job at GliaCell Technologies

 ...currently do not possess this level of clearance.*** Are you a Junior Web Developer who is ready for anew challengethat willlaunch...  ...Data, Cloud Technologies, Analytics, Machine Learning, AI, and DevOps Containerization. We also provide customer solutions in the areas...