[Hiring] Ambulatory CDI Specialist @Lifepoint Health

Role Description

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier.

The Ambulatory or Outpatient Clinical Documentation Integrity Specialist (OP CDS) bridges the gap between providers, coders, and revenue cycle using clinical knowledge and coding guidelines to clarify at-risk documentation to ensure accuracy of conditions submitted to payer organizations. The CDS nurse will be accountable for reviewing ambulatory patient medical records to capture an accurate disease burden over the specified population and facilitate proper documentation and coding.

The current focus is on identifying opportunities for improved documentation through a 2–3-year EHR (Electronic Health Record) look back among attributed patients in the AdvantagePoint Health Alliance clinically integrated networks.

Qualifications

• Active CRC, CDEO or CCDS/CCDS-O certification.
• Minimum of 3 years of “hands-on” clinical experience and risk adjustment experience in an ambulatory setting.
• License Practical Nurse, Licensed Vocational Nurse, or Registered Nurse licensure preferred.
• Certified Clinical Documentation Specialist - Outpatient (CCDS-O) or Certified Documentation Expert Outpatient (CDEO) preferred or obtained within two years.
• Certified Risk Adjustment Coder (CRC) or Certified Coding Specialist (CCS) a plus in lieu of CCDS-O or CDEO.

Requirements

• Demonstrate ability to build strong working relationships with clinicians, administrators, and revenue cycle colleagues.
• Leverage effective communication skills to bridge interrelated clinical concepts to coding guidelines and processes.
• Prioritize and organize time and materials, balancing physician documentation and education needs with competing priorities and deadlines.
• Understand various payment structures, fee schedules, and reimbursement methodologies in the outpatient setting.
• Subject matter expertise in the importance of excellent provider documentation and how it translates into coding accuracy.
• Deliver educational presentations to physicians, group practices, and administration.
• Demonstrate responsibility and accountability for personal development by participating in continuing education.
• Adherence to HIPAA regulations/standards in maintaining the confidentiality and integrity of all protected health information.
• Ability to navigate multiple electronic medical records (EMRs) and side by side technologies.
• Exhibit commitment to or willingness to learn compliant query practice.

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

Company Description

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.