Clinical Documentation Integrity Specialist Jobs in Arkansas

3+ years of Clinical Documentation Improvement experience including Chart Review, Provider Querying, and Education

Registered Nurse with 5+ years ICU / ED / Acute Care / Med Surg experience

Experience in a Metrics-driven/high productivity Environment

This is a fully REMOTE, 6-month contract opportunity.

$50-55 per hour depending on experience

Based on review of the existing medical record, determines principal diagnosis, qualifying secondary diagnoses, impacting procedures and assigns appropriate working DRG.

A minimum of five years of experience in healthcare revenue cycle management (ie. Clinical documentation improvement, health information management, etc.)

Must have a strong background in coding skills with experience in ICD-10 and working knowledge of the AHA Coding Clinic

Previous experience in a Supervisory or Management role

Possess strong time management and organizational skills.

Interacts with senior management levels at a client and/or within Intellis

Manager/Director, Clinical Documentation Integrity - Remote

Demonstrates responsibility and accountability for personal development by participating in continuing education offerings.

Interacts regularly with physicians, in the outpatient setting, providing ongoing education regarding compliant documentation.

Maintains HCC documentation requirements, ICD-10-CM code assignments and coding guidelines

Maintains integrity of data collection by ensuring accurate data entry.

Strong knowledge base in coding to include all pertinent coding guidelines

Conducts initial and follow-up concurrent reviews of medical records for assigned patients in the timeframe and frequency defined for productive work.

Utilize advanced knowledge of disease processes, medications, and critical thinking skills to identify gaps in current documentation.

Collaborate with physicians, coding, case management, nursing, and other care givers to facilitate appropriate modifications to documentation.

Certified Documentation Improvement Practitioner Certification (CDIP) or Certified Clinical Documentation Specialist Certification (CCDS)

2 years of inpatient clinical documentation experience

2+ years of medical records review experience

Recent experience working in a metric-driven production role

Review, abstract, and manage the upload of supporting documentation to a third-party platform

Attend and participate in team meetings and educational sessions

Has 3+ years of experience in healthcare or healthcare administration

Has CCDS, CDIP, or CCS certification

Holds CRC certification from AAPC

Lead chart review and abstraction for Medicare Risk patients

Experience working in Trizetto EOB resolve tool or equivalent use of contract management/software

Advanced Microsoft Excel skills (ex: pivot table, VLOOKUP, sort/filtering and , formulas)

3+ years of experience in a medical billing office preferred

AthenaOne software system experience is preferred

athenaOne software system experience is preferred

Auditing across all systems to ensure new provider and care center information is accurate

Assists in other monitoring activities, special department projects or other needs as determined by the department manager.

Provide ongoing CDI team learning opportunities through sharing of professional knowledge.

Works closely with Operations Manager to implement MRO initiatives.

Knowledge of age-specific needs and the elements of disease processes and related procedures.

Working Knowledge of the Medicare Advantage reimbursement system and HCC Coding required.

Working knowledge of HEDIS quality specification.

Assists in other monitoring activities, special department projects or other needs as determined by the department manager.

Provide ongoing CDI team learning opportunities through sharing of professional knowledge.

Works closely with Operations Manager to implement MRO initiatives.

Knowledge of age-specific needs and the elements of disease processes and related procedures.

Working Knowledge of the Medicare Advantage reimbursement system and HCC Coding required.

Working knowledge of HEDIS quality specification.

Demonstrates competency for individual performance and development in the following areas: Customer Service, Job Skills, Resource Management, Teamwork, and Innovation.

Experience / Knowledge / Skills:

Great Opportunity for Experienced Clinical Documentation & Integrity Specialist to Work Remotely!!!

Five (5) years of inpatient, acute care at the bedside on a nursing unit; ICU experience preferred

Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication

Possesses a working knowledge of many areas of adult medicine

Exceptional organizational, listening, time management and teamwork skills

Collaborate with clinical faculty and students to ensure completion of clinical orientations and site requirements

Perform other duties and responsibilities as assigned

Associates Degree or higher and/or extensive experience in healthcare

Excellent communication and presentation skills

Audit and Verification of Student Clinical Documents

Demonstrates knowledge of payor issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.

Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.

1-3 years of relevant experience, required.

Facilitates modifications to clinical documentation supporting appropriate reimbursement is received for the level of service rendered to all patients.

Improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation (CD) guidelines.

Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and Hospital outcomes.

Conducts educational sessions with physicians and other health care team members on documentation requirements

Conducts CDI on-boarding education of all new admitting physicians as part of the hospitals orientation program

90% of job requires computer data entry and use of software programs.

Physical Abilities & Work Environment

Other duties as assigned by the Director

Queries physicians on specificity of procedures performed and diagnosis based on accepted coding guidelines, clinical expertise and LifePoint Hospitals policy