Job Description
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Clinical Documentation Specialist I - Finance
Location Cleveland
Facility Remote Location
Department HIM Operations-Finance
Job Code T99120
Shift Days
Schedule 6:00am-6:00pm
Job Summary Job Details Clinical Documentation Specialist I - Finance
Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will work receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
The Clinical Documentation Specialist will support providers by providing concurrent and retrospective review of the medical record and education to ensure the documentation of all clinical conditions and procedures accurately reflect the condition and treatment of the patient. Our department goal is focused on risk adjustment, coding, and provider education.
This is a Remote opportunity for candidates who reside in the states of OH, FL and NV. A caregiver in this position works 8:00am-5:00pm. A caregiver who excels in this role will:
- Conduct reviews of medical records for patients in a variety of outpatient settings including but not limited to provider offices, physician and hospital-owned clinics, ambulatory surgery centers, and hospital emergency departments.
- Query providers and medical team members caring for the patient to clarify clinical documentation.
- Apply clinical knowledge to evaluate how the medical record will translate into coded data, including reviewing provider and other clinical documentation, chronic disease processes, medications and their indications, diagnostic information, and treatment plans.
- Educate providers about optimal documentation and identification of disease processes to ensure proper reflection of severity of illness, complexity, and acuity, and facilitate accurate coding and billing.
- Understand risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology and share this knowledge with providers and members of the clinical team.
- Maintain an accurate and complete record of review and query activity within the CDI software system, utilize tools available in CDI software system to ensure completion of reviews and become proficient in the use of innovative technology as it is deployed.
- Meet daily review, query, and query response targets.
- Participate in department performance improvement and employee engagement activities.
- Assist co-workers and management as workload requires by providing guidance to clinical documentation improvement staff regarding efficient processes/procedures and coverage determinations.
- Participate in department sponsored educational opportunities, meet hospital specific educational requirements and take responsibility for own learning through reading professional journals and attending webinars/seminars.
- Meet CEU requirements to maintain license and certifications.
- Encourage to advance formal education and work toward ACDIS certification.
- Participate as needed in providing one-on-one education to clinical team (physicians, advanced practice providers, and ancillary staff).
Minimum qualifications for the ideal future caregiver include:
- High School Diploma/GED or equivalent
- Five years of experience as clinical nurse, inpatient or outpatient coder or two years of experience as a Clinical Documentation Integrity Specialist
Preferred qualifications for the ideal future caregiver include:
- Associate's Degree in healthcare related field
- Registered Nurse (RN) in the current state of employment
- ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience
- CPC with CRC, RHIT or RHIA strongly preferred.
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you:
Physical Requirements: - Standing, walking, sitting, lifting, carrying up to 25 pounds
- Close, distant, and color vision
- Manual dexterity to grasp and handle records and to operate a PC in the course of work
- Ability to tolerate a moderate noise level (business office with phones, copiers, computers, and printers)
Personal Protective Equipment: - Follow standard precautions using personal protective equipment (PPE) as required
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities Cleveland Clinic
Job Tags
Remote job, Shift work,