Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities
Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation that impact quality metrics
Consistently assures coding practices remain compliant with coding guidelines and regulations
Continually identifies educational opportunities related to coding and documentation
Expert educator to clinical teams and medical staff
Identifies strategic plans that will result in a positive impact to the clinical dashboard
Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets
Ability to multi-task a variety of audits
Ability to analyze data and construct appropriate action plans
Develops teaching tools to promote quality outcomes
Is an active member of clinical and executive meetings as identified
Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR)
Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation and Coding in implementing key strategies to effect change.
Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work.
Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation to design and implement new and advanced workflow solutions.
Partners with third-party consultants/partners to contribute to workflow and methodology build and refine as necessary.
Requirements
RHIT or RHIA or CCS Certification
Certified Clinical Documentation Specialist
Bachelor Degree – Healthcare related (will consider candidate currently enrolled in Bachelor program)
Five years of coding experience in area of expertise
Clinical expertise and understanding achieved through prior experience working with clinical documentation teams
Strong personal computer skills (Word, Excel, PowerPoint, Visio)
Excellent verbal, written, and presentation skills
Demonstrates critical thinking skills
Excellent interpersonal skills
Planning and time management skills
Educational/training experience
Benefits
Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.