Clinical Documentation Educator

Essentia Health; United States; Remote; USD 57,000 - 86,000; Full time

Benefits offered by this job

Medical, dental, vision, life and long

401(k) with employer contributions

Tuition reimbursement and professional

Flexible scheduling and generous time

Job summary

Essentia Health is seeking a Clinical Documentation Specialist to improve provider documentation and portray an accurate clinical picture of the patient, including severity of illness and risk, across inpatient records.

You’ll educate teams on E/M, CPT, ICD-10, and HCC concepts, perform concurrent reviews, and lead data-driven initiatives to optimize case-mix index and reimbursement. Remote/hybrid options may apply; bachelor’s degree in HIM or related field is required.

Qualifications

• 1 year experience within Revenue Cycle, Health Information Management or Hospital/Clinic knowledge in Clinical Documentation areas.
• Must obtain one of the following coding/documentation certifications within 2 years of hire (CPC/CCS or RHIA).

Responsibilities

• Acts as the education liaison between coding services and operational leadership and departments, providing support to physicians and advanced providers with documentation complexity and risk.
• Guides and educates on coding concepts related to E/M, CPT, ICD-10, and HCC diagnoses.
• Provides active concurrent review, feedback, and education to improve documentation to ensure accurate MS-DRG assignments, case-mix index, and reimbursement.
• Identifies opportunities through data analysis and leads projects of moderate to high complexity.

Education

Bachelor’s degree (RHIA) or Business/Healthcare management

Job description

Building Location

Business Service Center Department: 1006290 CLINICAL DOCUMENTATION - EH SS

Job Description

Work on efforts to improve provider clinical documentation and providing an accurate clinical picture of the patient including severity of illness, risk, professional and resource utilization.

Key Responsibilities

• Acts as the education liaison between coding services and operational leadership, Medical Professionals, and departments throughout Essentia Health Provides support (New Physician/APP orientations, Section Meetings, One on One Education sessions, etc.) to physicians/advanced professional providers with moderate to high documentation and coding complexity and risk
• Collaborates and provides guidance/education on coding concepts related to E/M, CPT, ICD-10, and HCC diagnoses
• Provide active concurrent review, feedback, and education to improve documentation of all conditions and treatments in the inpatient medical record, to ensure an accurate reflection of the patient condition(s) in the associated MS-DRG assignments, case-mix index, severity of illness and risk of mortality profiling and reimbursement
• Proactively identifies opportunities and develops recommendations through data analysis and leads projects with moderate to high complexity, risk, and scope.

Educational Requirements

Bachelor’s degree from an accredited health information management program (RHIA), Business or Healthcare management program

Required Qualifications

• 1 year experience within Revenue Cycle, Health Information Management or Hospital/Clinic Knowledge in Clinical Documentation areas, desirable: Evaluation & Management, Coding, DRG, Value Based, Risk Adjustment, Accountable Care Organization, Population Health, and Quality initiatives
• Must obtain one of the following coding/documentation certifications within 2 years of hire Certified Coding Professional or Specialists (CPC, CCS) Certified Registered Health Information Administrator (RHIA)

Licensure/Certification Qualifications

• Certification/Licensure Requirements: Must obtain one of the following coding/documentation certifications within 2 years of hire Certified Coding Professional or Specialists (CPC, CCS) Certified Registered Health Information Administrator (RHIA)

FTE

1

Possible Remote/Hybrid Option

Remote

Shift Rotation

Day Rotation (United States of America)

Shift Start Time

Shift Start Time

Shift End Time

Shift End Time

Weekends

No Call Obligation

No Union

No Union

Posting Deadline

Union Posting Deadline

Compensation Range

$57,345.60 - $86,028.80

Employee Benefits at Essentia Health

At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].

Essentia Health seeks employees who embrace our commitment to patient- and family-centered care in communities both large and small.

We're looking for people who are committed to making patients and their families feel known and understood. People who understand what it means to be Here with you. People who are willing to use their strengths to help others.

Our Values

Quality | Hospitality | Respect | Joy | Justice | Stewardship | Teamwork

Essentia Health is an Equal Opportunity/Affirmative Action Employer.

Essentia Health does not discriminate in employment because of age, color, creed, culture, disability (physical or mental), ethnicity, familial status, gender identity or expression, genetic information, language, local Human Rights Commission activity, national origin, military service, race, religion, sex, sexual orientation, socioeconomic status, or public assistance status.

Job offers are contingent upon successful completion of post-offer screenings.

Screenings includes verification of your legal right to work in the United States, a health screening and immunization review, verification of applicable licensure, certifications, education, and experience, and background checks including criminal, urine drug screen and MVR where required.