Documentation Clerk is responsible for clerical duties related to the maintenance of technical documentation. Completes tracking, logging, updating and version control of technical documents according to business standards. Being a Documentation Clerk requires a high school diploma or equivalent. Typically reports to a supervisor. The Documentation Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Documentation Technician (Full Time)
Summary:To facilitate, supervise, maintain quality assurance and compliance of documentation as outlined in the policies & procedures of CDS for all Home and Community-Based Settings services offered.
All Documentation Technician team members will be able to provide the following tasks at minimum:
Case Management- Case management is defined as the maintenance, review, and correction of supported documentation (contact notes) submitted by all staff within your assigned caseload for CDS programs on a two-week rotation schedule. The documentation reviewed will be assessed for its alignment with appropriate ISP goals/objectives. Documentation Technicians are responsible for ensuring all documentation is received into CDS systems within the allotted timeframe and that all required re-submissions are received within the allotted timeframe. The Documentation Technician will also ensure that accurate information is on file for each person within their caseload by auditing each file on a quarterly basis; accurate information includes information outlined on the auditing checklist. Case Management ensures that supported documentation (contact notes) reflect & adhere to the following: Person Centered quality standards, current ISP/treatment plan goals, HCBS, Human Rights, DBHDS, DMAS, and all applicable regulatory rules, laws, and policies. are adhered to. A Documentation Technician will ensure that documentation training is scheduled and provided as needed for support staff that demonstrate challenges with adhering to submission deadlines and/or submitting documentation that aligns with the active ISP; they will also make recommendations for additional skill based training as needed for people receiving supports with a high level of support needs. Documentation Technicians will ensure behavior data is received from support staff as scheduled by the assigned Behavior Consultant on file and that the information is submitted to the assigned Behavior Consultant on file as scheduled. If any of these items are on physical paper, they will be scanned into the Therap system and attached/uploaded to the individual’s file.
On weekdays, the Documentation Technician will rotate every other day on-call for the entire company. On weekends, only 2 Documentation Technicians will be on-call for the entire company. When the Documentation Technician provides direct services (after 5pm & on the weekend), they will be compensated at their assigned pay rate and will ensure that appropriate and timely documentation is reflected in the data collection records, individual schedules, case notes, monthly summaries, incident reports, etc. are adhered to per DBHDS, Medicaid, and CDS policies & procedure.
Education/Experience Requirements: minimum of 1-year experience providing support to individuals with intellectual and/or developmental disabilities. Documentation Technician must possess both effective written and interpersonal communications skills. Additionally, Documentation Technicians must be able to work well under pressure and have the capability to work discreetly with highly confidential information such as ISPs.
Knowledge, Skills and abilities: Documentation Technicians are expected to have the following skills:
detail-oriented, dependable, time-management, multitask and troubleshoot. Must possess the ability to lift at least 50lbs. Documentation Technician should also possess strong interpersonal, communication and customer service skills.
Special Requirements: All employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or emergencies. May be needed to qualify as QDDP or related designation as required by program.
Skills and Abilities: Valid driver’s license and able to transport individuals when necessary. Acceptable time management skills. Good communication & documentation skills. Must be able to work with minimal supervision. Must be computer-savvy and well-versed in Microsoft Office products. Experience using a scanner is also important.
Knowledge of human behavior
Subject to criminal background and child protective services central registry check.
Positions to be supervised: None
About the Company:
Community Direct Services
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