Clinical Documentation Specialist | Home Care

About the Role We are seeking a highly organized and detail-oriented Clinical Documentation Specialist to support the clinical operations of a home care agency. This role focuses on reviewing and maintaining patient documentation, updating clinical information in HHAeXchange , and ensuring records are accurate, complete, and processed promptly. This is a non-clinical administrative position . No nursing license or healthcare certification is required. Key Responsibilities Review and process clinical and nursing documentation Enter and update patient information accurately in HHAeXchange Maintain Plans of Care (POCs) and related patient records Enter diagnoses, medications, allergies, care requirements, and other clinical information Review documentation for accuracy, completeness, and missing information Ensure records are processed promptly according to established procedures Research missing physician or healthcare provider information when needed Contact provider offices to obtain missing documentation or information Maintain accurate and organized patient records Follow HIPAA requirements and maintain strict patient confidentiality Qualifications Strong attention to detail and accuracy Excellent data entry and organizational skills Ability to follow detailed processes and instructions Comfortable working with medical terminology and patient information Strong computer skills and ability to learn new systems quickly Good written and verbal English communication skills Ability to work independently and manage time-sensitive tasks Understanding of patient confidentiality and HIPAA requirements Preferred Experience Healthcare, home care, or medical administration experience Clinical documentation or medical data entry experience Experience with HHAeXchange Familiarity with Plans of Care (POCs) Knowledge of medical terminology, diagnoses, and medications Experience communicating with physician or healthcare provider offices Medical or home care experience is preferred but not required.