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Clinical Documentation & Coding Specialist
ACHN- Holy Cross Health

Location: Fort Lauderdale, Florida
Work Setting: Physician Office
Job Function:
CDI Specialist, Coder, Coding – QA, Coding – Auditor, Educator
Job Type:
Full-Time

Introduction

The Clinical Documentation & Coding Specialist (CDCS) supports the organization in achieving Risk Adjustment and Value-based goals. The CDCS works in the field, on-site with the provider network. She or he provides educational material and sessions to providers. The CDCS may perform chart reviews to identify areas of opportunities in the documentation.

Job Description

  1. Performs ongoing educational interventions (visits) to providers to close gaps or related data reports, educational material such as flyers and tools.
  2. Analyzes risk adjustment scores and other data based on diagnoses, medical services, codes, and other indicators for identifying opportunities for improvements.
  3. Reviews medical documents such as surgical reports, medical visits, and diagnostic reports in order to create educational strategies to ensure correct diagnosis code assignment by the provider.
  4. Reviews clinical documentation and assign accurate diagnosis codes according to guidelines and projects
  5. Performs coding compliance audits.
  6. Be able to identify opportunities in diagnosis coding, clinical documentation, and billing within the provider’s day-to-day operations.
  7. Delivers training to physicians, targeted groups, and administrative staff regarding coding topics.
  8. Maintains a log of audits and education performed of diagnosis/HCC and quality gaps
  9. Prepares and submits to the supervisor a monthly report of activities performed.
  10. Participates in training to maintain an understanding of CMS regulations
  11. Performs other duties relevant to the position.

Required Qualifications

The position requires traveling, mainly Broward County, but it may required to travel to other counties in South Florida.

Certified coder or CDI specialist with high school diploma or equivalent

Or RHIA/RHIT

Or medical assistant with one year of experience

Or LPN or RN with one year of experience

Or foreign physician

Or 2 years of experience working in value-based programs performing activities such as reviewing gaps in RAF/HEDIS

 

Preferred Qualifications

  • Certificated coder/HIM professional with at least 2 year of experience in medical coding, medical billing, medical record reviewing, drug or provider representative experience. Recognized certifications by the American Academy of Professional Coders (AAPC) or American Health Information Management (AHIMA), or Association of Clinical Documentation Integrity Specialists (ACDIS).
  • Or certified medical assistant (MA), LPN or registered nurse (RN)  with an active license and at least 2 year of medical coding, medical billing, medical record reviewing drug or provider representative experience.
  • Or foreign physician with at least 1 year of medical coding, medical billing, medical record reviewing, drug or provider representative experience.
  • Or at least 4 years of experience in medical coding, medical billing, medical record reviewing, drug or provider representative experience.

Education Qualifications

A minimum of high school diploma or equivalent.

Compensation/Benefits

Health insurance, 401k, PTO, and other benefits.

Mileage (car allowance)

Instructions for Resume Submission

Please apply online and send an updated resume to gabriel.aponte@holy-cross.com

Apply Online: https://jobs.trinity-health.org/holycrossfl/job/TRHEUS00301022HOLYCROSSFLENUS/Clinical-Documentation-Specialist-Certified-Professional-Coder-CPC?utm_source=linkedin&utm_medium=phenom-feeds

Posted: October 21, 2021 at 11:05 AM
Post ID: 63645

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