Clinical Documentation Specialist II
SCP Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Louisiana, Missouri, Texas • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- To advise and educate Emergency Medicine, Hospital Medicine, Critical Care Medicine, Telemedicine, and Urgent Care internal and external clients (clinicians/facility/operations) on current documentation/coding requirements via phone, webinar, and/or in person for a minimum portfolio of 30 diverse contracts.
- 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
- To perform chart analysis/recommendations to support quality documentation feedback to clinicians as it relates to CMS Guidelines, Attestations, Procedures, and internal Queries.
- Educate and counsel clinicians on how to resolve external chart queries.
- Travel to territories as required to provide in-person documentation education, oversight, feedback, and training with EMR training as needed.
- Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation/coding and workflow concepts.
- Analyze coding and billing data to identify documentation and RVU outliers at the facility and clinician level to deliver additional documentation/coding education.
- Assist clinicians and chart acquisition team with chart flow process issues.
- Onboard and train all new clinicians on mySCP Care/mySCP Complete and the provider portal and act as a first line of contact for mySCP Care/mySCP Complete related issues and questions from clinicians and operations.
- Educate and give feedback to all new clinicians on documentation performance within the first month of service.
- Understands and provides support to or lead specific task focused on the seamless implementation of the EMR documentation strategic plan.
- Continues to seek out tasks and other initiatives that provides the opportunity for growth and development in the CDIS field.
- Provides support to junior team members using educational tools, videos and provided Webex’s.
- Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives.
- To participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership Collaborate with Data and Performance Analytics Team on clinician feedback.
- Conduct audits regarding clinician RVU and productivity as requested.
- Present Clinician Onboarding WebEx presentations bi-weekly and provide additional sessions as needed (HM)
- Create and distribute Monthly Facility Report Cards and trending reports to Medical Directors and Operations (HM)
Requirements
- 4+ years of job specific experience in Hospital or Physician practice environment
- Experience with Emergency Medicine, Hospital Medicine, Urgent Care documentation and coding guidelines preferred
- Experience with one or more following EMR's: Cerner, EPIC, Medhost, or Meditech
- Strong skills in Microsoft Suite such as Outlook, Excel, and PowerPoint. Microsoft Excel functions include, but not limited to: Data Entry, Data Filters, Data Sorting, Pivot Tables, Charts, Formatting, and Lookup Functions
- Microsoft PowerPoint functions to include, but not limited to: Design, Layout, Animation, Formatting, Customization, Timing, Recording
- Bachelor's degree - required Health Information Management Nursing Another related field.
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
chart analysisdocumentation feedbackcoding educationdata analysisRVU analysisEMR trainingonboardingauditingpresentation skillsdocumentation performance
Soft skills
counselingcommunicationeducationteam supportleadershipproblem-solvinginterpersonal skillsinitiativecollaborationfeedback
Certifications
Bachelor's degreeHealth Information ManagementNursing