Clinical Documentation Specialist I job at reputed company in US National
Title: Clinical Documentation Specialist I Remote - Mount reputed company Health Partners Location: reputed company Department: Clinical Doc. Job reputed company: 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 Apply tot his job Apply To this Job