Quorum Health

Medical writer

• The Clinical Documentation Integrity Specialist (CDIS) Lead is an advanced level position for the experienced and proficient CDI Specialist consistently meeting or exceeding all criteria for CDIS advanced performance.
• The CDIS Lead provides support to CDI leadership within a defined scope of facilities and CDI team.
• The CDIS Lead serves as a liaison between senior leadership, medical staff, nursing, coding, case management and quality departments.
• Key Responsibilities: May be assigned special projects related to CDI processes, quality, data analysis, or HIM/CDI performance.
• Assumes responsibility for daily workflow process and adjustments for the CDI team.
• May present CDI performance metrics at facility meetings.
• May present CDI education as needed.
• Will assume operational oversight in the absence of the CDI Director.
• Supports CDI team through multidisciplinary approach in support of program goals.
• Facilitates collaborative efforts between CDI, HIM and Medical Staff providers.
• Facilitates collaborative efforts between CDI and clinical teams such as Quality and Case Management.
• Effectively utilizes leadership abilities and critical thinking skills to identify opportunities for team process and engagement optimization.
• Maintains professional competency in documentation and coding practices by keeping up to date with new coding guidelines, policies/procedures, federal and state reimbursement.

Clinical Documentation Integrity Specialist – Lead

Medical Billing and Coding

• Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations.
• Abides by the Standards of Ethical Coding as set forth by AHIMA.
• The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance.
• Will match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.).
• Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
• Using 3M encoder, reviews Ambulatory Payment Classifications (APC) and coding edits.
• Reviews Local/National Coverage Determination (LCD/NCD) edits and guidance for codes meeting medical necessity.
• Research electronic medical record for any additional diagnoses documented to meet medical necessity.

Outpatient Acute Care Coder – Emergency

Recruitment

• Responsible for performing full cycle recruiting functions including but not limited to job understanding, candidate sourcing, social networking, phone screening, email communication, documentation, summary writing and presentation.
• Identifying candidates with the right skills to match the requirements.
• Regularly interacting with Hiring Manager to understand the openings, shifts, and all requirements.
• Make use of effective resourcing strategies, such as cold calling, ATS and job board sourcing, schools, networking, and employee referrals.
• Must have experience on full Life Cycle of Recruiting (screening resumes, interviewing, offer extension).
• Maintaining the candidate database.

Clinical Healthcare Recruiter – Contract

• Lead CDI strategy, planning, development, implementation and maintenance of CDI program.
• Manage projects associated with Mid Revenue Cycle and CDI initiatives.
• Maintain processes aligned with regulatory and legal requirements.
• Direct and manage the Clinical Documentation Integrity team.
• Collaborate with Coding and HIM leadership to maximize outcomes.
• Promote physician and provider education, engagement and collaboration.

Clinical Documentation Integrity Specialist – Lead

Outpatient Acute Care Coder – Emergency

Clinical Healthcare Recruiter – Contract

Director, Clinical Documentation Integrity