Clinical Documentation Improvement Specialist II

TSG Resources, Inc.; United States; On-site; USD 51,000 - 72,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401(k) with company match

Job summary

SCP Health seeks a clinician education and documentation specialist to drive accurate coding and documentation across hospitals and clinics. You will educate clinicians, counsel outliers, and support operations with data-driven feedback to improve RVU capture and compliance.

Travel to territories for in-person education and collaborate with a analytics team on clinician feedback. This role emphasizes proactive outreach and proficiency with EMR systems.

Qualifications

• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, and APC coding guidelines.
• Extensive knowledge of hospital and professional coding including ProFee services.
• Excellent verbal and written communication and collaboration skills.

Responsibilities

• Educate clinicians on documentation and coding requirements across multiple formats.
• Counsel outliers on documentation performance monthly.
• Educate Operations teams on documentation/coding by various channels.
• Analyze facility and clinician documentation trends and provide feedback.
• Develop action plans and prioritize outreach for improvement.
• Participate in onboarding WebEx sessions and EMR training.
• Document outreach activity in Salesforce and support company initiatives.

Skills

ICD-10-CM knowledge

CPT/HCPCS knowledge

ProFee coding knowledge

Data analytics

Strong communication

Problem solving

Team collaboration

Tools

Salesforce

EMR systems

Job description

At SCP Health, what you do matters As 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 VALUES

Agility: 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 results Must 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 Assurance Educate 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 initiatives Educate and counsel clinicians on how to resolve external and internal chart queries Bi-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 training Collaborate with Data and Performance Analytics Team on clinician feedback Performs miscellaneous job-related duties as assigned.

Secondary Functions:

To function as a training resource during EMR upgrades via onsite or web-based To advise Coders on EMR function and documentation scenarios To provide information and feedback in meetings with internal Operations teams To conduct Bi-monthly reviews and analysis for the following: Acuity and RVU decreases Clinical Data Feeds EMR Transitions New Facility Starts Unbillable Visits To collect NP/PA, Resident, and Scribe Attestation Examples as needed for new facilities and EMR transitions To present onsite or web-based MIPS/MACRA documentation training to clinicians as needed To provide support on any ad hoc departmental projects Knowledge, 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 future Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelines Extensive knowledge of hospital and professional coding including ProFee Services beneficial Knowledge of medical terminology, classifications systems, and vocabularies Knowledge 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 partners Strong analytical skills, data presentation, technical capabilities, and metric management Must be able to execute on analysis and recommend outcomes based on interpretation of data Team Oriented with strong Influence and negotiation skills Relationship building skills - develop partnerships to drive results Problem solving skills, good critical thinking, and decision-making skills Strong organizational skills with the ability to multi-task in a fast-paced environment Ability to prioritize and adhere to strict deadlines Ability to work independently and multitask in a fast-paced Global environment Ability to troubleshoot issues independently Adeptness at learning proprietary software applications Must be able to conduct themselves in a professional manner via phone, e-mail, business letters and fax Must be able to work under moderate to high stress and pressure while maintaining a professional attitude Pay Range: 50,751.00 - 72,120.00 USD annually This 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.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.