Role Description
Work on efforts to improve provider clinical documentation and providing an accurate clinical picture of the patient including severity of illness, risk, professional and resource utilization.
Key Responsibilities
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Acts as the education liaison between coding services and operational leadership, Medical Professionals, and departments throughout Essentia Health.
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Provides support (New Physician/APP orientations, Section Meetings, One on One Education sessions, etc.) to physicians/advanced professional providers with moderate to high documentation and coding complexity and risk.
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Collaborates and provides guidance/education on coding concepts related to E/M, CPT, ICD-10, and HCC diagnoses.
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Provide active concurrent review, feedback, and education to improve documentation of all conditions and treatments in the inpatient medical record, to ensure an accurate reflection of the patient condition(s) in the associated MS-DRG assignments, case-mix index, severity of illness and risk of mortality profiling and reimbursement.
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Proactively identifies opportunities and develops recommendations through data analysis and leads projects with moderate to high complexity, risk, and scope. Remote position with as needed on-site visits for special projects or department/section meetings.
Qualifications
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Bachelors degree from an accredited health information management program (RHIA), nursing, business or healthcare management program.
Requirements
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1 year experience within Revenue Cycle, Health Information Management or Hospital/Clinic.
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Knowledge in Clinical Documentation areas, desirable: Evaluation & Management, Coding, DRG, Value Based, Risk Adjustment, Accountable Care Organization, Population Health, and Quality initiatives.
Preferred Qualifications
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Clinical documentation improvement work experience OR at least 3 years professional nursing experience preferably in the medical, surgical, or ICU OR 3 years Inpatient coding experience, or Health Information Management experience.
Licensure/Certification Qualifications
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Must obtain one of the following coding/documentation certifications within 2 years of hire:
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Certified Coding Professional or Specialists (CPC, CCS)
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Certified Clinical Documentation Improvement Specialists (CDIP)
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Certified Clinical Documentation Specialist (CCDS)
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Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
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Certified Registered Health Information Administrator (RHIA)
Compensation Range
$57,345.60 - $86,028.80
Benefits
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Comprehensive medical, dental, vision, life, and disability insurance, along with supplemental options.
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401(k) plan with employer contributions.
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Professional development through training, tuition reimbursement, and educational programs.
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Flexible scheduling and generous time off.
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Wellness resources focused on physical, mental, and emotional health.