
Description
Overview:
Expert clinician with CDI/coding background who works in partnership with multidisciplinary teams, including CDI/Coding, quality, senior leadership, clinical leadership & medical staff to improve the accuracy and quality of the ambulatory medical record documentation. Maintains clinical and professional competencies for subject matter expertise in ambulatory coding & clinical documentation integrity concepts. Develops and conducts medical staff education regarding accurate risk-adjustment documentation of HCCs and professional fee documentation and coding.
Job Qualifications:
- Conducts select comprehensive reviews of professional fee - and HCC-related clinical documentation and coding and uses data to address provider professional fee opportunities and issues.
- Intervenes with providers and/or leadership as needed in any cases or issues escalated from CDI or Coding teams. Provides associated targeted educational feedback to provider, provider champions, and/or leadership.
- Serves as a liaison between CDI and Coding departments and providers, departments, divisions andleadership.
- Assists in configuring, developing, and customizing EHR and AI/CAPD software for clinicians.
- As a subject matter expert, facilitates, develops, and provides education to providers, departments, residents, network leadership, and CDI and Coding teams on accurate and complete clinical documentation for professional fee and risk-adjustment/ value-based care. This includes education for E/M (Evaluation and management) leveling, accurate use of CPT codes, accurate HCC capture/risk-adjustment, accurate quality metrics, recovery auditor tactics, and ICD-10 Coding guidelines.
Required:
Education
- Doctorate MD/DO
Licenses
- MD/DO Upon Hire
Certifications
- CCDS-O within 2 Years
Experience
- 5 years CDI or Coding Physician Advisor
Knowledge, Skills and Abilities - Required
- Strong understanding of risk-adjustment documentation and coding concepts and methodologies.
- Strong interpersonal skills, excellent communication skills, strong analytical skills
- Knowledge of Pro fee E/M documentation and coding requirements
- Word and PPT experience
- Experience using EPIC
Benefits & Perks:
- VIRTUAL! Attractive Work Schedule
- Competitive compensation with a superb benefits package
- Low-cost health insurance for employees and their families.
- Top-tier retirement programs.
- Public Service Loan Forgiveness Assistance Program.
Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.
EEO
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