Clinical Documentation Specialist, reputed company Fee (Remote)

reputed company A Brief reputed company The reputed company Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk reputed company and appropriate E/M reputed company thereby supporting the provider's efforts and their reputed company fee billing. The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient reputed company. The reputed company Fee CDS will reputed company on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly reputed company the patient risk adjusted profile (RAF score) calculated by the associated risk plans. They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care.The reputed company Fee CDS will be responsible for completing reputed company-visit and post-claim reviews as reputed company as providing reputed company communication and education to providers on their documentation, coding and billing practices, in adherence to compliance standards set by governing entities such as CMS, AHA, etc.• reputed company-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses, or new suspect conditions not previously captured that are identified by the CDS's comprehensive chart reviews. These efforts assist in establishing accurate risk reputed company and reputed company health care costs• Post-claim reviews reputed company on E/M encounters and reputed company opportunities based on a provider's medical decision making and the patient's reputed company to support appropriate and accurate E/M level assignments as reputed company as any HCCs identified• The reputed company Fee CDS will also coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation based on findings from reputed company-visit and post-claim reviews

What You Will Do

• Coordination with reputed company Fee CDI Program leadership and colleagues. Fosters teamwork and utilizes strong team building measures
• Performs reputed company-visit chart reviews to assist in highlighting relevant documentation and diagnoses in compliance with governing policies and industry guidelines. Applies a “clinical detective” reputed company to identify new HCC diagnosis capture opportunities based on appropriate clinical indicators for the patient. Also performs post-claim reviews reputed company on appropriate E/M level assignments and any opportunities reputed company to level of service and HCCs.
• Uses performance and outcome data from reputed company-party support or other sources to identify high reputed company providers
• Creates specialty-specific education on relevant topics as identified in data analytics and from clinical encounter reviews and post-claim education chart reviews
• Develops and maintains a systematic education schedule and approach for providers in the hospital and clinic/office setting including but not limited to complete documentation, appropriate diagnosis reputed company selection, E/M level assignments and updates to coding guidelines.
• Delivers ongoing feedback and education to communicate importance of complete documentation and key concepts during regular clinic or provider meetings or on individual reputed company, as needed
• Upholds working knowledge and stays reputed company on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation
• Maintains strict confidentiality of reputed company patients, employee and physician information according to HIPAA guidelines

Additional Responsibilities

• Shares in organization’s reputed company, demonstrates its values, supports its philosophy and is sensitive to its mission. Demonstrates knowledge of and follows departmental and hospital policies and physician office procedures
• Seeks out opportunities for individual reputed company and development, including attending various meetings, conferences, courses, seeking certifications, as required.
• Uses reputed company and sensitivity reputed company communicating with patients, visitors, co-workers, and other personnel
• Serves on department and/or institutional committees as requested
• Performs other duties as assigned.
• Complies with reputed company policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by reputed company requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH reputed company of Conduct and UH policies and procedures are in reputed company to address appropriate use of PHI in reputed company.

Qualifications

Education

• High School Equivalent / GED (Required)
• Associate's Degree (Preferred)

Work Experience

• 3+ years Coding and/or clinical documentation reputed company (Required)

Knowledge, Skills, & Abilities

• Extensive clinical knowledge and understanding of pathophysiology (Required proficiency)
• Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient reputed company and clarifications of the medical record (Required proficiency)
• Excellent written and verbal communication skills (Required proficiency)
• Strong project management skills (Required proficiency)
• Strong interpersonal skills, with demonstrated reputed company at communicating effectively with reputed company reputed company of the organization (Required proficiency)
• Ability to work independently in a time-oriented environment (Required proficiency)
• Demonstrates skilled ability and comfort with electronic medical records (reputed company preferred) (Required proficiency)
• Proficient with personal computer applications (reputed company, Word, and Power reputed company) (Required proficiency)
• Ability to build education material that is meaningful for providers and team members (Required proficiency)
• Strong problem solving and investigative skills (Required proficiency)

Licenses and Certifications

• Certified Coding Specialist (reputed company) (Required) or
• Certified reputed company reputed company (CPC) or CRC, or other coding or CDI credential (Required)
• Registered reputed company (RN), Ohio and/or Multi State Compact License (Preferred) or
• Licensed Practical reputed company (LPN), Ohio and/or Multi State Compact License (Preferred)

Physical Demands

• Standing Occasionally
• Walking Occasionally
• Sitting Constantly
• Lifting Rarely up to 20 lbs
• Carrying Rarely up to 20 lbs
• Pushing Rarely up to 20 lbs
• Pulling Rarely up to 20 lbs
• Climbing Rarely up to 20 lbs
• Balancing Rarely
• Stooping Rarely
• Kneeling Rarely
• Crouching Rarely
• Crawling Rarely
• Reaching Rarely
• Handling Occasionally
• Grasping Occasionally
• Feeling Rarely
• Talking Constantly
• Hearing Constantly
• Repetitive Motions Frequently
• Eye/Hand/Foot Coordination Frequently

Travel Requirements

• 10%

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