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Clinical Documentation Specialist Outpatient
Corewell Health (formerly Beaumont Health)
Location: Southfield, Michigan
Work Setting: Physician Office
Job Function: CDI Specialist
Job Type: Full-Time
Salary Range: varies per experience
This is a Hybrid Position, requiring some onsite engagement with providers at Corewell Health offices. Monday -Friday, Hours 8:00 AM – 4:30 PM
Identifies factors influencing the complexity and severity of patient diagnoses. Works collaboratively with providers in the ambulatory setting to ensure overall specificity, accuracy and completeness of clinical documentation to support the highest integrity of the medical record. Reports to the Manager of Outpatient Clinical Documentation Integrity (CDI).
- Utilizes clinical and/or coding expertise, clinical documentation integrity practices and facility specific tools for best practice and compliance with the mission and vision of revenue cycle.
- Provides daily evaluation of documentation by the Medical Staff and healthcare team including lab results, diagnostic information and treatment plans to assure appropriate documentation supports reported diagnoses.
- Reviews and makes recommendations for improvement to the overall quality, integrity and completeness of clinical documentation by utilizing knowledge of ICD-10 and CMS guidelines, compliance, policies and procedures.
- Partners with the CDI Outpatient team members to guide, support and sponsor the CDI Program.
- Communicates with ambulatory providers and healthcare team members to clarify documentation necessary for complete and accurate coding for proper reimbursement via electronic query practices.
- Educates healthcare team about clinical documentation and coding guidelines via presentations, departmental meetings and documentation tips.
- Licensed Clinical CDS performs medical record reviews to ensure complete documentation and accurate code capture based on Provider performance.
- Certified Coding CDS performs medical record reviews and assigns final diagnosis codes prior to payer submission.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Bachelor’s degree required; Nursing, health-related field, and/or business administration (or equivalent work experience).
Minimum 5 years’ experience required in a clinical setting and/or minimum 5 years’ experience in a coding setting.
Certification, Licensure, Registration (current):
- LIC – Registered Nurse (RN) license in State of Michigan required or
- CRT – Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA) required or
- CRT- Registered Health Information Technician (RHIT) – AHIMA required or
- CRT- Registered Health Information Administrator (RHIA) – AHIMA required or
- CRT- Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC) required or
- CRT- Certified Outpatient Coder (COC) – AAPC required
- CRT- Certified Documentation Integrity Practitioner (CDIP) – AHIMA preferred; required when eligible or
- CRT- Certified Documentation Expert Outpatient (CDEO) – AAPC preferred; required when eligible or
- CRT- Certified Clinical Documentation Specialist – Outpatient (CCDS-O) – Association of Clinical Documentation
- Integrity Specialists (ACDIS) preferred; required when eligible
Demonstrates dynamic personality, and comfort with public speaking and interacting with medical staff and administration. Must have strong public speaking skills, and motivation to promote the program. Possess the ability and willingness to accept autonomy with responsibility, and commitment to a collaborative practice.
- Strength: Position requires incumbent to infrequently perform physical activities requiring ability to push/pull objects up to 20 pounds and rarely lift objects of up to 30 pounds.
- Manual Dexterity: Position requires incumbent to frequently perform simple motor skills such as answering a telephone, frequently perform simple and moderately difficult manipulative skills such as writing and typing.
- Coordination: Position requires incumbent to frequently perform gross body coordination such as walking, filing, retrieving manuals, frequently performing tasks which require eye-hand coordination such as keyboard skills.
- Mobility: Position requires incumbent to frequently perform mobility skills such as walking, standing, sitting and occasionally perform prolonged sitting.
- Visual Discrimination: Position requires incumbent to frequently see objects far away such as locating a client company and to discriminate colors in industrial signs; occasionally to see objects closely s in reading faces or dials.
- Hearing: Position requires incumbent to constantly be able to hear normal sounds with some background of noise and to distinguish sounds as voice patterns in telephone conversations with clients
- Concentration: Position requires incumbent to constantly be able to concentrate on details with moderate amounts of interruptions such as staff requests, new projects, financial analysis and strategy, proposal preparation.
- Attention Span: Position require incumbent to attend to task/functions constantly for periods up to 60 minutes in length and frequently attend to task/functions constantly for periods exceeding 60 minutes in length such as complicated reports, contract negotiations and renewals.
- Conceptualization: Position requires incumbent to frequently be able to understand and relate to specific ideas, concepts and theories multiply generated and simultaneously discussed.
- Memory: Position require incumbent to constantly remember task/assignments given to self and others over both short and long periods of time.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors and community. That is why we require a drug-free workplace and various vaccinations as a requirement for employment.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
If you are a qualified individual with a disability, you may request assistance in completing the application process by calling 616.486.7447. We are committed to granting reasonable accommodations in accordance with applicable laws.
Posted: August 15, 2023 at 3:38 PM
Post ID: 80205