BHMG Ambulatory CDI Specialist

Kyeatright; Kentucky; Hybride; USD 70 000 - 90 000; Plein temps

Résumé du poste

Baptist Health Medical Group is seeking an Ambulatory CDI Specialist to join our team. This remote position requires residency in KY or IN and involves evaluating medical documentation to ensure precise coding and medical necessity.

You will identify HCC codes and provide education to providers and staff while traveling for internal meetings as needed. The role requires knowledge of ICD-10-CM, CPT, CPT II modifiers, HCPCS, CMS/HHS HCC, and experience with Epic or other major EMR systems.

Qualifications

• Requires 2+ years professional medical group coding experience.
• Proficient with ICD-10-CM, CPT, CPT II rules, HCPCS, CMS/HHS HCC coding.
• Experience with Epic or other major EMR systems and presenting to staff.

Responsabilités

• Evaluate documentation to ensure coding specificity and medical necessity.
• Identify HCC codes and ensure alignment with risk adjustment.
• Provide guidance/education to providers, medical assistants and staff on documentation best practices.
• Willingness to travel and attend internal meetings while working remotely.

Connaissances

ICD-10-CM coding principles

HCPCS

CPT

CPT II and modifiers

CMS HCC

HHS HCC

Rx HCC coding & risk adjustment

Microsoft Office

Education to coders/providers

Formation

CPC or CCS-P certification

CRC - Risk Adjustment Coder

Advanced certification within 1 year

Outils

Epic

EMR software

Description du poste

Ambulatory CDI Specialist

Baptist Health Medical Group is looking for an Ambulatory CDI Specialist to join our team!

This is a remote work position that requires residency in KY or IN.

The BHMG Ambulatory CDI Specialist I is responsible for the evaluation of documentation utilizing their coding and clinical expertise to ensure specificity of coding and coding accuracy. They identify HCC diagnosis codes, ensure documentation accurately reflects the medical necessity and acuity of the patients. They provide guidance/education to the providers, medical assistants, practice managers and ancillary staff on clinical documentation best practices. Position requires a self-motivated, flexible, confident presenter that is able to travel and work remotely as well as attend internal meetings.

Minimum Education, Training, and Experience Required

• 2 years’ professional medical group coding experience
• ICD-10-CM coding principles and procedures
• HCPCS
• CPT
• CPT II and modifier coding
• CMS HCC
• HHS HCC
• Rx HCC coding and risk adjustment assignment as it relates to provider documentation
• Knowledge of Microsoft Office (Outlook, PowerPoint, Excel)
• Preferred Experience: HCC (CMS, HHS, Rx HCC) coding and risk adjustment assignment as it relates to provider documentation
• Proficient experience with Epic and/or other major EMR vendor software
• Presenting education to coders, providers and/or other caregivers

Certification/Licenses

• Active Certification Required Certified Professional Coder (CPC) certification or Certified Coding Specialist-Physician based (CCS-P) or equivalent certification from AAPC, AHIMA or other acceptable professional organization.
• A minimum of one additional advanced certification, required within one year of hire.
• CRC = Certified Risk Adjustment Coder (certification)

Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40-bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians.

EEO Statement

Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.

NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES

Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.