Advertised Summary Job Description: The ACO Clinical Documentation Improvement Specialist (CDIS) serves as an internal expert on Risk Adjustment and HCC coding. The CDIS leads and participates in the organization's ongoing documentation and HCC coding performance improvement activities in partnership with the CMO and clinical leadership. Specific duties include performing concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding, including ICD-10 CM, CPT, and Hierarchical Conditions Categories (HCC) coding. The CDIS provides training, education and coaching to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding standards. The CDIS also actively participates in the organization's documentation and coding performance improvement activities.
General Minimum Qualifications: Requires a bachelor's degree or equivalent in education and experience, plus four years of related experience.
Additional Specific Minimum Qualifications: - Minimum of four (4) years of experience in concurrent clinical documentation improvement relative to HCC coding in the ambulatory setting - Extensive knowledge of ICD-10-CM, CPT, and HCC coding - Proven ability to effectively teach/coach healthcare providers regarding documentation standards and their role in document improvement in both group and one-on-one settings - Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes - Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s) or ability to obtain within one year of hire - Excellent written and verbal communication skills - Excellent critical thinking skills - Ability to manage multiple projects simultaneously and meet timeline constraints - Ability to travel to various practice sites in Westchester County, New York (anticipate up to 30% of days spent at various practices) - Possession of or access to a registered, legal and reliable means of transportation - Possession of a valid driver's license recognized by the State of New York and a good driving record is necessary. - Proficiency with Microsoft Word, PowerPoint and Excel - Experience with electronic medical records
Preferred Qualifications: - Certified Risk Adjustment Coder (CRC) credential or ability to obtain within one year of hire - Certified Professional Coder certification (CPC) or ability to obtain within one year of hire - Registered Health Information Administrator (RHIA) or Registered Nurse (RN) licensure - Bachelor's degree in healthcare related field - Experience with Epic or Allscripts electronic health records
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