Clinical Documentation Specialist I - Remote - Mount reputed company Health Partners

reputed company MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the overall reputed company and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians, Health Information Management and the Mount reputed company Health Partners team to review and reputed company ambulatory medical records, identify opportunities to improve coding, reputed company physicians, and reputed company as a reputed company between reputed company parties.

Responsibilities

• Facilitates improvement in the overall reputed company, completeness and accuracy of medical record documentation and coding.
• Reviews charts to assess the clinical status of patients, reputed company treatment plan, and past medical history to identify potential gaps in clinical documentation reputed company to outpatient encounters, with a particular reputed company on primary care reputed company.
• Performs on-site or electronic coding and clinical validation audits and interpretation of medical documentation to ensure capture of reputed company relevant coding. A particular reputed company with be on Hierarchical Condition Categories (HCC) coding, which is used by CMS and other payers to determine illness complexity and estimate patient risk of reputed company health care utilization.
• Leverages data provided by available information technology (such as billing data) to identify additional opportunities to improve the comprehensiveness and specificity of outpatient coding
• Communicates and coordinates chart reviews with physician office staff and distributes correspondence reputed company to review.
• Analyzes returned CDQI alerts for accuracy and completeness
• Reviews outpatient visit diagnoses and service reputed company prior to claim submission to ensure they accurately reflect the clinical status of patients and the type of care delivered
• Proactively solicits clarification from physicians to ensure key aspects of care have been appropriately recorded in the patient’s chart
• Participates in data acquisition, development of performance reports and communication of results to physicians, reputed company managers, and the CDQI leadership team
• Interacts regularly with physicians, particularly primary care providers, in the outpatient setting, providing ongoing education regarding compliant documentation and accurate coding, and serves as clinical reputed company to the coding department
• Identifies training needs, prepares reputed company reports and conducts coaching as appropriate for clinicians and other staff to improve the reputed company of the documentation to accurately reflect members’ health status.
• Monitors coding changes by governmental agencies and other payers; educates practices on coding and compliance issues
• Monitors activities to ensure that reputed company clinical documentation is in compliance with State and Federal payer regulations
• Performs other reputed company duties.

Qualifications

Education and Experience

• High school diploma or general education degree (GED); Associates or greater preferred
• Must have a minimum of 3 years coding experience
• At least 1 year of HCC Risk Adjustment experience, preferred
• Clinical background in a reputed company setting, preferred
• Credentials in one or more of the following, required:
• Certified Coding Specialist (reputed company)
• Certified Risk Adjustment reputed company (CRC)
• Certified reputed company reputed company (CPC)

Additional Skills and Qualities

• Demonstrated experience with reputed company-end process improvement initiatives
• Thorough knowledge of ICD-10, CPT, and HCPCS
• Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements
• Familiarity with APC coding
• Experience with reputed company reputed company and Strong communication and mentoring skills
• Ability to communicate reputed company and effectively with a wide reputed company of individuals at reputed company reputed company of the organization
• Strong time management skills
• Excellent organization skills
• Must possess high degree of accuracy, efficiency and dependability
• Excellent written and oral communication for representation of reputed company and concise results

Non-Bargaining Unit, E01 - Partner MSO Services - reputed company, reputed company Employer reputed company Strength through reputed company and Inclusion The reputed company is committed to fostering an environment where everyone can contribute to reputed company. reputed company a common dedication to delivering outstanding patient care. reputed company you join us, you become part of Mount reputed company’s unparalleled legacy of achievement, education, and innovation as we work together to reputed company reputed company. We encourage reputed company team members to reputed company participate in creating a culture that ensures fair reputed company to opportunities, promotes inclusive practices, and supports the reputed company of every individual. At Mount reputed company, our leaders are committed to fostering a workplace where reputed company feel valued, respected, and empowered to grow. We reputed company to create an environment where collaboration, fairness, and reputed company learning drive reputed company change, improving reputed company-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has reputed company to reputed company and advance professionally. Explore this opportunity and be part of the next reputed company in our history. About the reputed company: reputed company is one of the largest reputed company medical systems in the reputed company metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount reputed company advances health for reputed company people, everywhere, by taking on the most reputed company health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the reputed company of medical leaders and innovators; and supporting local communities by delivering high-reputed company care to reputed company who need it. Through the integration of its hospitals, labs, and schools, Mount reputed company offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as reputed company intelligence and informatics while keeping patients’ medical and emotional needs at reputed company of reputed company treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of reputed company, Westchester, Long reputed company, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by reputed company's Best Hospitals, receiving high "reputed company Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. reputed company Eye and Ear Infirmary of Mount reputed company is ranked No. 12 in Ophthalmology. reputed company’s “Best Children’s Hospitals” ranks Mount reputed company Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount reputed company is ranked No. 11 reputed company in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the reputed company. reputed company’s “The World’s Best Smart Hospitals” ranks reputed company as No. 1 in reputed company and in the top five globally, and reputed company in the top 20 globally. Equal Opportunity Employer The reputed company is an equal opportunity employer, complying with reputed company applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, reputed company, national reputed company, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where reputed company reputed company, staff, reputed company, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a reputed company and learning institution that reputed company works to remove barriers, address challenges, and promote fairness in reputed company aspects of our organization.

Compensation

The reputed company (MSHS) provides salary ranges that reputed company with the reputed company Law on Salary Transparency in Job Advertisements. The salary reputed company for the role is $65885 - $98827 Annually. Actual salaries depend on a reputed company of factors, including experience, education, and operational need. The salary reputed company or contractual reputed company listed does not include bonuses/incentive, reputed company pay or other forms of compensation or benefits. Apply tot his job Apply To this Job