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Clinical Documentation Specialist
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Job Description
- Req#: R0080113
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Comprehensive health benefits, including Medical, Dental, and Vision plans for staff and their families
- Up to 10% matched contribution to retirement plans
- Opportunities for career training and educational advancement
- Supportive environment promoting teamwork and diversity
- Strong focus on improving patient care and health outcomes for the community
What to Expect (Job Responsibilities):
- Conduct comprehensive coding audits and identify improvement opportunities in documentation and coding
- Partner with clinicians to enhance understanding of risk adjustment principles and improve documentation practices
- Develop and deliver training sessions on documentation best practices and coding accuracy
- Perform detailed reviews of provider documentation to ensure accurate ICD-10-CM code assignment
- Collaborate with population health teams to track coding completeness and prioritize high-impact patient cohorts
What is Required (Qualifications):
- Registered Nurse (RN) with current license plus 4 years of inpatient clinical experience in relevant areas or
- Coding professional with CCS certification and 6 years of inpatient coding experience
- Strong knowledge of ICD-10-CM, HCC models, and CMS risk adjustment guidelines
- Excellent written and verbal communication skills
- Experience in auditing and clinical documentation review within a health plan or value-based care environment
How to Stand Out (Preferred Qualifications):
- Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) certification
- 2 years of experience in Risk Coding and provider education
- Experience with clinical quality measures and evaluation
- Familiarity with ACO operations and documentation policy updates
#HealthcareServices #ClinicalDocumentation #Coding #PatientCare #CareerAdvancement
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