Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO

Right Talent Right Now; Cape Girardeau (MO); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare staffing company is seeking a Clinical Documentation Improvement Specialist with AHIMA Credentialed Coder CCS certification. The candidate must have 5-7 years of coding experience using ICD-9-10, HCPCS, and CPT methodologies. This position involves reviewing physician documentation for accuracy, providing education to staff, and ensuring documentation practices comply with laws and standards. The role is full-time based in Cape Girardeau, Missouri, requiring strong problem-solving and communication skills.

Qualifications

• 5-7 years of critical coding experience using ICD-9-10, HCPCS, CPT coding.
• Experience with coding and reimbursement.
• Ability to analyze complex clinical scenarios and apply critical thinking.

Responsibilities

• Review disease processes of complex patients and physician documentation.
• Provide ongoing CDI education to new staff and health professionals.
• Ensure organization's documentation practices comply with relevant laws.

Skills

Critical coding experience

ICD-9-10 coding

HCPCS coding

CPT coding

Effective communication

Problem-solving

Education

AHIMA Credentialed Coder CCS

Job description

Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO

Job Ref.: 2223

Role: Information Technology

Relocation Available: Yes

Location: Missouri

Town / City: Cape Girardeau

Job Type: Permanent full-time

Position Summary

The clinical documentation specialist is an AHIMA Credentialed Coder CCS with a high level of clinical coding proficiency. Knowledge to review disease processes of complex patients, various ages and development, acute and chronic disease states daily. Promotes effective and efficient review of physician documentation to supporting level of care, appropriate assignment of DRG's with action plans for documentation improvement. Collaborates with CDIS peers, physicians, nurse practitioners, physician assistants, managers, coding and data quality staff, case management and Director, Health Information Management. Works in a collegial manner with physicians, staff and consultants. Must be able to carry out goals, use good judgment, be productive and accurate in completing responsibilities. Provides ongoing CDI education to appropriate new staff, physician, coder peers, CDI nurses and designated allied health professionals. Responsible for the day to day review of new admissions, including follow up and follow through of patients already in house. The clinical documentation specialist is responsible for ensuring through auditing, evaluation, education and support that the organization's documentation practices are appropriate and that the facility physicians/clinicians document in a manner consistent with relevant laws, regulations, and standards. The documentation specialist is expected to provide information to the clinicians and non‑clinicians and interact regularly with physicians, case management staff in a way which ensures clinical documentation practices are consistent, accurate and efficient. The employee's work schedule is an 8 hour day, 5 days a week. This position reports directly to and is under the direct supervision of the Director, Health Information Management, Business Office, Registration Center, Privacy Officer.

Qualifications

AHIMA Credentialed Coder CCS. Experience: 5-7 years of critical coding experience using ICD-9-10, HCPCS, CPT coding methodologies. Experience in coding and reimbursement. Other Skills and/or Knowledge Required: Demonstrated ability to provide continuous quality improvement, knowledge and clinical coding skills essential to the position while improving clinical documentation. Knowledge of insurance regulations, Medicare and Medicaid guidelines a plus. Proficient in communicating clearly and effectively with multiple constituents. Proficient in challenging complex processes and systems for improved clinical documentation in order to effect positive change. Must possess skills required to maintain a fiscally responsible program while ensuring constant improvement. Skilled in identifying problems and recommending solutions. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Knowledge of treatment methodologies, patient care assessments, data collection techniques as necessary.

Bottom Line Requirements

• AHIMA Credentialed Coder CCS
• 5-7 years of critical coding experience using ICD-9-10, HCPCS, CPT coding methodologies
• Experience in coding and reimbursement

All your information will be kept confidential according to EEO guidelines.