Clinical Documentation Specialist

4 hours ago


Cavite City, Calabarzon, Philippines beBeeBehavioral Full time $39,936 - $44,928
Job Opportunity

This role is designed for a licensed clinical or medical professional with expertise in behavioral health documentation and insurance requirements.

The ideal candidate will be responsible for conducting peer reviews, case consultations, and interfacing with payers to obtain continued authorization.

Key Responsibilities:
  • Conduct comprehensive peer reviews of client charts, including progress notes, psychiatric evaluations, history and physical exams, nursing assessments, and medical vitals.
  • Collaborate with the clinical and medical team to gather updated information supporting medical necessity for continued care.
  • Maintain knowledge of insurance medical necessity criteria, such as ASAM, MCG, and InterQual.
  • Document all interactions accurately in electronic medical records or designated systems.
  • Participate in interdisciplinary team meetings and provide feedback on documentation practices that support utilization review.
Required Qualifications:
  • Licensed Registered Nurse (RN) or higher-level licensure (NP, MD/DO, LCSW, LPC, LMFT, PsyD, PhD).
  • Minimum 2 years of experience in behavioral health, substance use, or psychiatric care.
  • Prior experience with utilization review, case management, or insurance authorization processes preferred.


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