HCC Clinical Documentation Lead (RN)

Yale NewHaven Health; New Haven (CT); Remote; USD 75,000 - 100,000; Full time

Job summary

A healthcare organization in Connecticut is seeking an HCC Documentation Lead (RN) to coordinate and oversee documentation specialists. The ideal candidate must have a valid RN license, relevant coding credentials, and a minimum of three years’ experience in HCC documentation and acute care nursing. This remote position requires excellent communication and organizational skills, with occasional onsite meetings. Competitive salary and benefits offered.

Qualifications

• Minimum 3 years of experience in HCC Documentation
• At least 3 years of acute care nursing experience required
• RN license and relevant coding credentials are essential

Responsibilities

• Support clinicians through patient record reviews
• Educate clinicians about documentation needs
• Oversee HCC Documentation Specialists and clarify priorities

Skills

Excellent communication skills

Organizational skills

Adaptability

Attention to detail

Education

Registered Nurse with active RN

BSN preferred

CCS-P, CPC, CRC, or other coding credential

Tools

Medical record systems

PC literacy

Job description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

As a member of the Center for Population Health, the HCC Documentation Lead (RN), while incorporating the role of the HCC Documentation Specialist, is expected to demonstrate a higher level of comprehension and expertise in HCC Documentation integrity and is responsible for overall coordination of HCC Documentation specialists, provide procedural guidance, and assumes responsibility for achieving desired results in conjunction with leadership and program manager support. The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven Health Clinical Affiliates. The position is responsible for leading the efforts related to clinician education regarding documentation opportunities through appropriate channels on an ongoing basis. Working with leadership and staff, the HCC Documentation Lead will contribute to content development and ongoing documentation; participates and organizes projects related to performance improvement.

EEO/AA/Disability/Veteran

Responsibilities

• Pre Visit Support: Provide support to clinicians through patient record reviews in advance of patient visits, focused on recapture of HCCs and other potential chronic diagnoses, evaluating new HCC diagnosis capture opportunities based on appropriate clinical indicators and validation of data-driven suspect diagnoses.
• Clinician Education: Interact with clinicians regarding questions about pre-visit documentation needs or suspect diagnoses
• Staff oversight: Provide day to day guidance and support to HCC Documentation Specialists, clarifying priorities and role expectations.
• Performs other duties as assigned or directed: Performs other duties as assigned that support the program to meet program and organizational goals.

Qualifications

EDUCATION: Registered Nurse with active RN required, BSN preferred. CCS-P, CPC, CRC, or other coding credential required.

EXPERIENCE: Experienced HCC Documentation Specialist with minimum of three (3) years experience in role. At least three (3) years of recent acute care nursing experience required; ICU experience preferred. Previous clinical leadership experience preferred.

LICENSURE: RN license required. CCS-P, CPC, CRC, or other coding credential required.

SPECIAL SKILLS: Excellent communication and organizational skills. Adaptability to a wide variety of interpersonal encounters with the care team. Comprehensive understanding in use of medical record to extract data. Computer PC literacy required. Must be able to work collaboratively and independently. Must be flexible with responsibilities in order to meet departmental needs. Must have keen eye to detail. Ability to develop and maintain supportive, collaborative relationships with physicians and other clinical professionals. Ability to track activities and communications across multiple physician services and forums.

PHYSICAL DEMAND: Ability to communicate clearly and confidently to clinicians the program goals and documentation opportunities using email, in personal communication, telephone or other written and electronic forms of communication. Primarily remote position, however occasional on site participation in meetings, trainings and conducting education sessions may be required on ad hoc basis.