Ambulatory Clinical Documentation & Coding Specialist

Mount Sinai Hospital; New York (NY); Teletrabalho; USD 66 000 - 99 000; Tempo integral

Resumo da oferta

Mount Sinai Hospital is seeking a Clinical Documentation Specialist to improve the quality and completeness of outpatient clinical documentation and coding. You will collaborate with physicians, Health Information Management and Mount Sinai Health Partners to review ambulatory records, educate staff, and act as a liaison to ensure compliant documentation and accurate coding.

The role emphasizes review of outpatient visits, HCC coding focus, and data-driven improvements across departments.

Qualificações

• 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.
• Credentials in CCS, CRC or CPC are required.

Responsabilidades

• Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation and coding.
• Reviews charts to assess the clinical status of patients and identify documentation gaps, focusing on primary care outpatient encounters.
• Performs on-site or electronic coding and clinical validation audits to ensure capture of all relevant coding, with focus on HCC.

Conhecimentos

HCC Risk Adjustment

Clinical documentation

Communication

Formação académica

GED or higher, associate degree preferred

Ferramentas

Microsoft Excel

Coding systems (ICD-10, CPT, HCPCS)

Descrição da oferta de emprego

Mount Sinai Hospital is seeking a Clinical Documentation Specialist to improve the quality and completeness of outpatient clinical documentation and coding. You will collaborate with physicians, Health Information Management and Mount Sinai Health Partners to review ambulatory records, educate staff, and act as a liaison to ensure compliant documentation and accurate coding.

The role emphasizes review of outpatient visits, HCC coding focus, and data-driven improvements across departments.