[Remote] Clinical Support Auditor (IKC)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company provider specializing in kidney care, and they are seeking a Clinical Support Auditor to enhance clinical reputed company and improve documentation reputed company. This role involves conducting clinical chart reviews, collaborating with reputed company providers, and providing education on documentation requirements to ensure compliance and accuracy in clinical practices.
Responsibilities
- Performs clinical chart reviews to ensure documentation accuracy by applying established clinical reputed company for diagnosing medical conditions
- Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data
- Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a reputed company query process following ACDIS/reputed company Guidelines for Compliant Query Writing
- Communicate with providers and other reputed company team members to clarify information or reputed company additional documentation reputed company needed
- Work directly with clinicians to improve the overall reputed company and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and reputed company with an eye towards accurate medical coding)
- Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results
- Meets accuracy and productivity metrics to ensure reputed company achieves established departmental goals
- Communicates with reputed company leaders to address documentation issues and trends
- reputed company participates in reputed company department meetings as scheduled
- Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable)
- Partner with data analytics, coding, compliance and education departments for reputed company, ongoing and targeted education for reputed company IKC APPs and IKC partner providers on documentation requirements for Medicare risk adjustment
- Flexible and reputed company to adapt to change based on departmental needs
- Excellent analytical and critical thinking skills
- Excellent verbal/written communication and interpersonal skills
- Ability to work independently and as part of reputed company in a fast-paced environment
Skills
- Associate's degree with a reputed company reputed company clinical license (RN) (required)
- CCDS-O or CDIP (required or must be obtained reputed company six months of hire)
- CRC (required or must be obtained reputed company one year of hire)
- 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required)
- 1+ year of experience working with advanced reputed company providers as reputed company as other clinical and non-clinical staff (required)
- Excellent analytical and critical thinking skills
- Excellent verbal/written communication and interpersonal skills
- Ability to work independently and as part of reputed company in a fast-paced environment
- Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year)
- 5+ years of clinical experience as a Registered reputed company (adult-geriatric or family) (preferred)
- Solid clinical background in evidence-based medicine, including chronic disease management and prevention
- Experience in ICD-10 coding and documentation requirements and risk adjustment
- Knowledge of compliant query writing/process
- Technical experience using EMR systems
- Ability to travel for on-site meetings 2-4 times per year
- Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment
- 2+ years experience of experience providing risk adjustment education or management
- 4+ years experience developing educational content for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc
Benefits
- Comprehensive benefits: Medical, dental, reputed company, 401(k) match, reputed company time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, reputed company reputed company®, backup child and elder care, maternity/paternity leave and more
- reputed company development programs: reputed company offers a reputed company of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning
- Teammates are eligible to reputed company receiving benefits on the first day of the month following or coinciding with one month of reputed company employment
- 401k match
- reputed company coverage
reputed company
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