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APP Clinical Documentation Integrity Reviewer at WellBe Senior Medical - ApplyBlast

APP Clinical Documentation Integrity Reviewer

WellBe Senior Medical

2 years ago

Remote

Full Time

Medior

0 applicants

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About this role

The APP Clinical Documentation Integrity Reviewer establishes and supports a clinically focused documentation audit and education function within Documentation/Risk Adjustment. This role evaluates medical records for sufficient clinical evidence to support reported diagnoses, identifies documentation and compliance risks, and delivers peer-level education to improve documentation accuracy. The reviewer partners with providers, coding, compliance, and clinical leadership teams to strengthen audit readiness and address documentation issues proactively.

Responsibilities

Conduct risk-based clinical documentation audits of high-risk diagnoses and HCCs
Evaluate medical records to ensure sufficient clinical evidence supports reported diagnoses
Deliver peer-level provider education to improve documentation accuracy and compliance

Skills

Qualifications

Master's degree from an accredited advanced practice nursing or physician assistant programCurrent, unrestricted license as a Nurse Practitioner, Physician Assistant, or other approved advanced practice provider in at least one U.S. stateNational board certification appropriate to the APP discipline