Outpatient Clinical Documentation Improvement Specialist

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours: 8-4 Mon-Fri

Summary:

The Outpatient Clinical Documentation Improvement Specialist ("OP CDS") is responsible for activities which improve the accuracy of facility outpatient clinical documentation and charging including education with the clinical departments and root cause correction to support accurate charging and coding in compliance with Hospital/Health System policies. The OP CDS assists clinical areas to effectively document services and understand the relationship of documentation, medical necessity, and charging for the services provided in accordance with Hospital/Health System policies and procedures. This position supports a multi-facility health system, and as such, requires the ability to travel to various Catholic Health facilities throughout the Health System.

Responsibilities:

EDUCATIONBachelor's degree or over five (5) years of related healthcare experience in lieu of degree

Strong preference will be given to candidates who have one or more of the following credentials RN, LPN, RHIA, RHIT, CPC, COC, or CDEOEXPERIENCEFive (5) or more years of healthcare knowledge typically obtained from experience as a clinical caregiver or manager, coding specialist, and/or a revenue management/cycle professional staff person

General understanding of hospital-based outpatient charging, coding, and/or revenue capture functionsKNOWLEDGE, SKILL, AND ABILITY

Knowledge of APC and OPPS reimbursement structures preferred

Possesses strong project management skills

Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads

Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred), and hospital billing functions

Proficient with Microsoft Office computer applications (Excel, Word, and Power Point)Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously

Ability to organize and work with minimum supervision at a high level of motivation and initiative while being entrepreneurial, creative and results oriented

Effective verbal and written communication skills, good listening skills, and the ability to interpret end users' needs

Strong problem solving and investigative skillsWORKING CONDITIONS:

Works in office setting and remotely with computer and medical records

Sits for prolonged periods of time, in front of a computer screen

Normal heat, light space, and safe working environment; typical of most office jobs

After satisfactorily completing a probationary period, this position may be eligible for remote work on days when no travel to a facility is needed, pursuant to CH remote working policiesENVIRONMENT

Normal heat, light space, and safe working environment; typical of most office jobs

Occasional exposure to one or more mildly unpleasant physical conditions