Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO

Job Description

Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO

Job Ref.:2223

Role: Information Technology

Relocation Available: Yes

Industry: I.T.

Location: Missouri

Town / City: Cape Girardeau

Job Type: Permanent full-time

Job description:

Large Medical Center in great area looking for a CCS Certified Coder that can fill the role of Clinical Documentation Improvement Specialist. Position Summary The clinical documentation specialist is an AHIMA Credentialed Coder CCS with a high level of clinical coding proficiency. Knowledge to review disease processes of complex patients, various ages and development, acute and chronic disease states daily. Promotes effective and efficient review of physician documentation to supporting level of care, appropriate assignment of DRG's with action plans for documentation improvement. Collaborates with CDIS peers, physicians, nurse practitioners,physician assistants, managers, coding and data quality staff, case management and Director, Health Information Management. Works in a collegial manner with physicians, staff and consultants. Must be able to carry out goals, use good judgment, be productive and accurate in completing responsibilities. Provides ongoing CDI education to appropriate new staff, physician, coder peers, CDI nurses and designated allied health professionals. Responsible for the day to day review of new admissions,including follow up and follow through of patients already in house. The clinical documentation specialist is responsible for ensuring through auditing, evaluation, education and support that the organization's documentation practices are appropriate and that the facility physicians/clinicians document in a manner consistent with relevant laws, regulations, and standards. The documentation specialist is expected to provide information to the clinicians and non-clinicians and interact regularly with physicians, case management staff in a way which ensures clinical documentation practices are consistent, accurate and efficient. The employee's work schedule is an 8 hour day, 5 days a week. This position reports directly to and is under the direct supervision of the Director, Health Information Management, Business Office, Registration Center, Privacy Officer. Qualifications: AHIMA Credentialed Coder CCS Experience: 5-7 years of critical coding experience using ICD-9-10 , HCPCS, CPT coding methodologies experience. Experience in coding and reimbursement. Other Skills and/or Knowledge Required: Demonstrated ability to provide continuous quality improvement, knowledge and clinical coding skills essential to the position while improving clinical documentation. Knowledge of insurance regulations, Medicare and Medicaid guidelines a plus. Proficient in communicating clearly and effectively with multiple constituents. Proficient in challenging complex processes and systems for improved clinical documentation in order to effect positive change. Must possess skills required to maintain a fiscally responsible program while ensuring constant improvement Skilled in identifying problems and recommending solutions. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Knowledge of treatment methodologies, patient care assessments, data collection techniques as necessary.

Bottom Line Requirements:

1.  AHIMA Credentialed Coder CCS

Additional Information

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