Clinical Documentation Specialist - Professional Fee

March 14

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now

Receive Emails with Similar Jobs

University Hospitals

WebsiteLinkedInAll Job Openings

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

Cancer Services • Gastroenterology & Digestive Health • Heart & Vascular • Neurology & Neurosurgery • Obstetrics & Gynecology

10,000+ employees

📚 Education

💰 $2M Grant on 2021-07

📋 Description

• The Professional Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels thereby supporting the provider's efforts and their professional fee billing. • The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity. • The Professional Fee CDS will focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly impact the patient risk adjusted profile (RAF score) calculated by the associated risk plans. • They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care.

🎯 Requirements

• High School Equivalent / GED (Required) • Associate's Degree (Preferred) • 3+ years Coding and/or clinical documentation integrity (Required) • Certified Coding Specialist (CCS) (Required) or Certified Professional Coder (CPC) or CRC, or other coding or CDI credential (Required) • Registered Nurse (RN), Ohio and/or Multi State Compact License (Preferred) or Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Preferred)

🏖️ Benefits

• Complies with all policies and standards. • Performs other duties as assigned. • Seeks out opportunities for individual growth and development, including attending various meetings, conferences, courses, seeking certifications, as required. • Upholds working knowledge and stays current on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation. • Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines.