Clinical Documentation Manager

Reposted 15 Hours Ago
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Richmond, VA, USA
Hybrid
Mid level
Healthtech
The Role
The Clinical Documentation Manager ensures the clinical team meets documentation standards through review, support, and training, enhancing patient care quality and aligning with strategic organizational goals.
Summary Generated by Built In

Clinical Documentation Manager
Full-Time | Hybrid

We offer competitive salaries, a comprehensive benefits package, generous Paid Time Off, and opportunities for professional growth.

As the Clinical Documentation Manager, you will play a key role in driving documentation excellence across clinical programs. This position focuses on daily clinical documentation review, coaching, and training to ensure accuracy, timeliness, and compliance with regulatory and payer standards. You will collaborate closely with clinical teams, site leadership, and cross-functional partners to support high-quality patient care and alignment with organizational goals.

Why Choose Pinnacle Treatment Centers
At Pinnacle, Clinical Documentation Managers are trusted partners in clinical quality and compliance. This hybrid role allows you to combine remote work with meaningful collaboration alongside clinical teams and leadership. You’ll have the opportunity to influence documentation practices, support clinician development through training and coaching, and contribute to continuous quality improvement efforts that directly impact patient care and program success.

Benefits

  • 18 days Paid Time Off (PTO)
  • 401(k) with company match
  • Company-sponsored ongoing training and certification opportunities
  • Comprehensive benefits package including medical, dental, vision, short-term disability, long-term disability, and accident insurance
  • Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
  • Discounted tuition and scholarship opportunities through Capella University

Requirements

  • Master’s degree in Social Work, Psychology, Addiction Counseling, or a related field
  • Active, independent clinical licensure associated with the earned degree
  • Virginia licensure required:
    • Licensed Professional Counselor (LPC)
    • Licensed Clinical Social Worker (LCSW)
    • Licensed Marriage and Family Therapist (LMFT)

Preferred Qualifications

  • Experience treating individuals with substance use disorders
  • Strong experience with clinical documentation and treatment records following payer guidelines
  • Clinical chart audit experience
  • Experience developing and facilitating training for clinical staff

Responsibilities

  • Review all clinical records daily to ensure accuracy, timeliness, and documentation quality
  • Ensure adherence to clinical documentation standards, payer requirements, and local, state, and federal regulations
  • Address documentation deficiencies through same-day coaching, training, or direct annotation when needed
  • Provide ongoing teaching and training to support clinical documentation excellence
  • Attend clinical team meetings and other assigned meetings
  • Complete required training courses in a timely manner
  • Ensure Electronic Health Record (EHR) forms meet applicable documentation and regulatory standards
  • Collaborate with the Information Technology (IT) team on EHR form development and enhancements
  • Support accreditation processes, scheduling, and corrective action initiatives for the DR&A division
  • Oversee outcomes, data integrity, and performance processes across the DR&A division while maintaining confidentiality
  • Develop training materials and calendars aligned with performance data and quality outcomes
  • Develop, implement, and maintain quality improvement standards, policies, and procedures
  • Serve as a resource to clinical teammates to resolve documentation and quality-related issues
  • Perform other duties as assigned
Qualifications Behaviors Preferred Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Functional Expert: Considered a thought leader on a subject Dedicated: Devoted to a task or purpose with loyalty or integrity Education Required Masters or better. Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Top Skills

Electronic Health Record (Ehr)
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The Company
HQ: Mt. Laurel, NJ
1,140 Employees
Year Founded: 2006

What We Do

Pinnacle Treatment Centers is a leading provider of comprehensive substance use disorder treatment services. Founded in 2006, Pinnacle has expanded into nine states (California, Georgia, Indiana, Kentucky, New Jersey, North Carolina, Ohio, Pennsylvania, and Virginia) and includes Aegis, Recovery Works, Stepping Stone, and more in our Pinnacle Family of Companies. Pinnacle was created to help individuals, families, and communities combat substance abuse and find lasting recovery. Our commitment to our patients is built on the quality, customization, and easily accessible nature of our care. Our approach to addiction treatment is holistic. We don't just treat the symptoms, but each aspect of a person; mental, physical, emotional, and spiritual. We off full-service treatment, including detox, inpatient treatment, outpatient programs, medication-supported recovery, transitional housing, and ongoing support. We harness the power of the latest research and complement it with compassionate care to address every facet of addiction. Our commitment to excellence and patient well-being means each person receives the support they need for a sustainable recovery. We're not just a treatment company; we're a community that creates a sense of hope in every step taken, and support in every heart we touch. Everyone knows someone who’s struggled with addiction, we’re no exception; we take addiction personally. That’s why Pinnacle provides the highest quality addiction treatment from a team who genuinely cares.

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