Pinnacle Home Care · 1 day ago
Documentation Specialist
Pinnacle Home Care is Florida’s largest Medicare-certified home health provider, dedicated to delivering compassionate healthcare. They are seeking a Documentation Management Specialist to ensure accuracy in referrals and manage documentation processes efficiently.
Health CareHospitalNursing and Residential Care
Responsibilities
Monitor new referrals throughout the day to ensure accuracy and that Starts of Care (SOC) are processing according to the order
Review referrals brought in from the previous night’s processing to ensure all information is correct in relation to attending and/or signing MD and facility
Review the EOD Report daily for your branch(es) and the Care Coordinator (CC) team to ensure all referral documents are received and completed and that assignments are correct in KanTime. This includes the CC assignment, Ordering MD or Facility, and Signing MD
Travel with CCs to referral partner offices and develop relationships with them, learn each account’s referral patterns, and determine their preferred delivery method. Update and manage delivery methods in KanTime as necessary
Travel regularly in the field to referral partner offices to obtain signatures for current or outstanding orders
Work with referral partners to obtain outstanding paperwork when a CC is no longer working within the agency or at the branch
Monitor KanTime to ensure the physician information is correct on the profile page, and research and correct any errors in that profile
Submit Smartsheet for changes to CC’s assigned referral sources (MD’s, facilities/hospitals, etc.) or any other KanTime information that requires updates
Document in KanTime daily the work performed to obtain current or outstanding orders by date, action, and follow-up date. Follow-up on the previous week’s activity
Assist with the escalation of orders by working with the home office, referral partner, and CC, including obtaining approval from the RDS to escalate outstanding orders to the branch Medical Director for signature
Participate in meetings to discuss and provide updates on outstanding F2F, hand carry, orders, escalations, and communicate plans to obtain missing documents
Print and prepare orders for each CC and discuss a plan for obtaining signatures on a weekly basis. Be available to send outstanding orders/F2F/hand carry orders to the CC if they are in a referral sources office and will obtain signature during that visit
Run F2F and orders reports on a weekly basis and work with CC to ensure orders are complete within 14 days or as appropriate according to the patient’s case
Review potential write-off accounts with RDS to determine a plan for resolution or submission for write-off
Communicate professionally with all departments to resolve outstanding orders
Respond promptly to all inquiries with a resolution to concerns and or discrepancies in a timely manner
Comply with HIPAA regulations on all accounts
Qualification
Required
Must have a high school diploma or equivalent
Must have previous experience working with an EMR system
Excellent communication, organizational, and time management skills
Advanced typing, computer skills (MS Office), and the ability to multitask across multiple software systems while maintaining the integrity of the data
Excels in a deadline driven environment
Ability to remain productive when faced with high workloads and deadlines
Benefits
Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.