Ambulatory CDI Specialist: HCC & Coding Educator

Mount Sinai; Oregon; Hybrid; USD 66,000 - 99,000; Full time

Job summary

Mount Sinai Health System seeks a Clinical Documentation Specialist to support outpatient physician practices in improving documentation quality and coding accuracy. You will review ambulatory records, identify opportunities to improve coding, educate physicians, and act as a liaison between physicians, Health Information Management and the CDQI leadership team.

This role emphasizes HCC coding, data-driven improvements, and collaboration with HIM, physicians, and CDQI leadership to ensure

Qualifications

• High school diploma or GED; Associates or greater preferred.
• Minimum of 3 years coding experience.
• At least 1 year of HCC Risk Adjustment experience, preferred.
• Clinical background in a healthcare setting, preferred.
• Credentials: CCS, CRC, CPC required.

Responsibilities

• Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation and coding.
• Reviews charts to assess clinical status and identify gaps in documentation for outpatient encounters, with focus on primary care.
• Performs coding and clinical validation audits to ensure capture of all relevant coding, focusing on HCC coding.
• Engages with physician office staff to educate on compliant documentation and accurate coding.
• Analyses CDQI alerts for accuracy and completeness and communicates results to stakeholders.
• Ensures outpatient visit diagnoses reflect the care delivered and status of patients.
• Obtains clarifications from physicians to ensure key aspects of care are recorded.
• Participates in data acquisition and development of performance reports for clinicians and leadership.
• Interacts with physicians and staff as a clinical liaison to the coding department.

Skills

HCC Risk Adjustment

ICD-10

CPT

HCPCS

Excel

Communication

Mentoring

Time Management

Documentation

Accuracy

Education

High school diploma or GED

Associates degree or higher preferred

CCS (Credential)

CRC (Credential)

CPC (Credential)

Job description

Mount Sinai Health System seeks a Clinical Documentation Specialist to support outpatient physician practices in improving documentation quality and coding accuracy. You will review ambulatory records, identify opportunities to improve coding, educate physicians, and act as a liaison between physicians, Health Information Management and the CDQI leadership team.

This role emphasizes HCC coding, data-driven improvements, and collaboration with HIM, physicians, and CDQI leadership to ensure