AMVETS Jobs

Responsibilities

· As a Clinical Documentation Improvement (CDI) Specialist, you will play a critical role in creating a culture of best-in-class clinical documentation accuracy in support of building a model of care focused on quality and health outcomes

· You will work closely with our Bbilling deparment, Clinical, and Compliance teams to participate in our Clinical Documentation Integrity program and leverage your clinical, coding, and documentation expertise to foster improvements in the overall quality, completeness, and compliance of clinical documentation

· The Clinical Documentation Integrity (CDI) Specialist at LaSante Health Center will be responsible for ensuring LaSante Health Center Burden of Illness team members and providers meet coding rules, query compliance, and company compliance guidelines

· The CDI specialist will also perform assessments of data to improve overall operations and identify opportunities for provider education and optimization

· You will work closely with the Quality team to ensure that Quality measures are also captured accurately

· You will serve as a subject matter expert on HCC documentation requirements and ICD-10-CM coding guidelines (Medicaid documentation requirements understanding is a plus)

· You will query providers to ensure that appropriate documentation appears in the medical record

· Develop and support strong professional relationships with medical providers across the organization

· Conduct ongoing education and training for providers on proper documentation and coding

· Assist the Manager, CDI with analysis, trending, and presentation of audit / review findings, outcomes, and issues

· Providers connecting with CDI with questions and engage in CDI process

Qualifications

· You have 3+ years of CDI-specific experience (outpatient HCC knowledge required)

· You perform frequently without supervision and have the ability to drive projects and problem statements

· CCS, CRC, CPC, CCDS, CDIP or similar certifications required

· Knowledge of medical terminology, physiology, pharmacology, and disease processes and related procedures

· Knowledge of risk adjustment (HCCs), guiding principles, and reimbursement methodology

· Professional, proficiency in 3M 360 IT reporting and data analysis