Clinical Documentation Improvement Specialist II

SCP Health; Lafayette (LA); On-site; USD 51,000 - 72,000; Full time

Job summary

SCP Health, a leader in clinical practice management, seeks a Clinical Documentation and Coding Educator to advance Hospital Medicine coding and documentation across facilities. You will counsel clinicians, provide onboarding education, and partner with Operations to improve accuracy and RVU capture.

Travel to territories will be required to deliver in-person education and training sessions. You will document outreach in Salesforce, support EMR training, and collaborate with Data and Performance

Qualifications

• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, and APC coding guidelines.
• Strong analytical, data presentation, and metric management skills.
• Excellent oral and written communication with diverse stakeholders.
• Willingness to travel to territories as required.
• Experience educating clinicians on documentation and coding.

Responsibilities

• Perform ongoing outreach education for clinicians on Hospital Medicine coding and documentation using multiple formats.
• Counsel clinicians identified as outliers on a monthly basis or as directed.
• Educate new clinicians on documentation performance within the first month of service.
• Advise Operations on documentation/coding via calls, webinars, or meetings.
• Monthly Facility Report Card analysis to identify documentation/RVU outliers.
• Develop action plans and prioritize outreach.
• Document all outreach activity in Salesforce.
• Participate in EMR training and provide feedback on workflow concepts.
• Travel to territories to provide in-person education and training.
• Collaborate with Data and Performance Analytics teams on clinician feedback.

Skills

Medical coding

Data analysis

Communication

Teaching/training

EMR knowledge

Tools

Salesforce

Job description

At SCP Health, what you do mattersAs part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.Why you will love working here:- Strong track record of providing excellent work/life balance.- Comprehensive benefits package and competitive compensation.- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.CORE VALUESAgility:Strong organizational skills with the ability to multi-task in a fast paced environment.Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.Knowledge and understanding of medical coding and billing systems and regulatory requirements.Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.Respect:Relationship building skills - develop partnerships to drive resultsMust demonstrate professional manner and appearance with all communications.Collaboration:Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members, including physicians and executive level employees.Team Oriented with strong Influence and negotiation skills.Courage:Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.Must be able to work under moderate to high stress and pressure while maintaining a professional attitude.Strong analytical skills and the ability to work independently to analyze and solve problems.Adept at learning proprietary software applications.JOB DESCRIPTION:Responsibilities:Primary Functions:Perform ongoing outreach education for new and existing clinicians on Hospital Medicine coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic and web-based applications.To counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email, on a minimum of a monthly basis or as coordinated by Director of Documentation AssuranceEducate and give feedback to all new clinicians on documentation performance within the first month of service.To advise and educate internal Operations teams on documentation/coding by phone, webinar, in person or by participating in Monthly Facility Team Meeting group sessions.Monthly Facility Report Card analysis and trending to identify documentation and RVU outliers at the facility or clinician level.Action Plan development and outreach prioritization.Individual clinician and/or facility documentation feedback and education.Medical Director and Operations Leadership report distribution and support.Outlier clinician /facility escalation using established policies and processes.Participate in standing clinician meetings to highlight documentation, coding, and quality initiativesEducate and counsel clinicians on how to resolve external and internal chart queriesBi-weekly Clinician Onboarding WebEx presentations.Documentation of all outreach activity in SalesForce application.Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.Participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership.Travel to territories as required to provide in person documentation education, oversight, feedback, and trainingCollaborate with Data and Performance Analytics Team on clinician feedbackPerforms miscellaneous job-related duties as assigned.Secondary Functions:To function as a training resource during EMR upgrades via onsite or web-basedTo advise Coders on EMR function and documentation scenariosTo provide information and feedback in meetings with internal Operations teamsTo conduct Bi-monthly reviews and analysis for the following:Acuity and RVU decreasesClinical Data FeedsEMR TransitionsNew Facility StartsUnbillable VisitsTo collect NP/PA, Resident, and Scribe Attestation Examples as needed for new facilities and EMR transitionsTo present onsite or web-based MIPS/MACRA documentation training to clinicians as neededTo provide support on any ad hoc departmental projectsKnowledge, Skills, and Abilities:Knowledge as it relates to, but not limited to, Electronic Health Record, health information systems and healthcare applications and their effects on Coding practices today and in the futureKnowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelinesExtensive knowledge of hospital and professional coding including ProFee Services beneficialKnowledge of medical terminology, classifications systems, and vocabulariesKnowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.Excellent oral, written, and interpersonal communication skills for working with all different levels of professionals, including physicians, external and other internal partnersStrong analytical skills, data presentation, technical capabilities, and metric managementMust be able to execute on analysis and recommend outcomes based on interpretation of dataTeam Oriented with strong Influence and negotiation skillsRelationship building skills - develop partnerships to drive resultsProblem solving skills, good critical thinking, and decision-making skillsStrong organizational skills with the ability to multi-task in a fast-paced environmentAbility to prioritize and adhere to strict deadlinesAbility to work independently and multitask in a fast-paced Global environmentAbility to troubleshoot issues independentlyAdeptness at learning proprietary software applicationsMust be able to conduct themselves in a professional manner via phone, e-mail, business letters and faxMust be able to work under moderate to high stress and pressure while maintaining a professional attitudePay Range:50,751.00 - 72,120.00 USD annuallyThis range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.-We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.Visit our website for further information. https://myscpbenefits.com/Login name: corp-guestPassword: weheal