[Hiring] Clinical Documentation Improvement Specialist I @SCP Health

Role Description

To advise and educate Emergency Medicine, Hospital Medicine, Critical Care Medicine, Telemedicine, and Urgent Care internal and external clients (clinicians/facility/operations) on current documentation/coding requirements via phone, webinar, and/or in person for a portfolio of 5-10 contracts.

• To counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email, on a minimum of a monthly basis or as coordinated by Director of Documentation Assurance.
• To perform chart analysis/recommendations to support quality documentation feedback to clinicians as it relates to CMS Guidelines, Attestations, Procedures, and internal Queries.
• Educate and counsel clinicians on how to resolve external chart queries.
• Travel to territories as required to provide in-person documentation education, oversight, feedback, and training with EMR training as needed.
• Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation/coding and workflow concepts.
• Analyze coding and billing data to identify documentation and RVU outliers at the facility and clinician level to deliver additional documentation/coding education.
• Assist clinicians and chart acquisition team with chart flow process issues.
• Onboard and train all new clinicians on mySCP Care/mySCP Complete and the provider portal and act as a first line of contact for mySCP Care/mySCP Complete related issues and questions from clinicians and operations.
• Educate and give feedback to all new clinicians on documentation performance within the first month of service.
• Provides support to CDIS II other and/or senior CDIS as needed on major client and department initiatives.
• Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives.
• To participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership.
• Collaborate with Data and Performance Analytics Team on clinician feedback. Conduct audits regarding clinician RVU and productivity as requested.
• Present Clinician Onboarding WebEx presentations bi-weekly and provide additional sessions as needed (HM).
• Create and distribute Monthly Facility Report Cards and trending reports to Medical Directors and Operations (HM).

Qualifications

• Bachelor's degree - required
• Health Information Management
• Nursing
• Another related field

Requirements

• 2 years' experience in Hospital or Physician practice environment performing related job duties as described above.
• Experience with Emergency Medicine, Hospital Medicine, Urgent Care documentation and coding guidelines preferred.
• Experience with one or more following EMR's: Cerner, EPIC, Medhost, or Meditech.
• Strong skills in Microsoft Suite such as Outlook, Excel, and PowerPoint.
• Microsoft Excel functions include, but not limited to: Data Entry, Data Filters, Data Sorting, Pivot Tables, Charts, Formatting, and Lookup Functions.
• Microsoft PowerPoint functions to include, but not limited to: Design, Layout, Animation, Formatting, Customization, Timing, Recording.
• Certification and Licenses: Registered Health Information Administration (RHIA), Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) and prior intermediate coding experience.

Benefits

• Comprehensive benefits package designed to support your health, financial well-being, and work-life balance.
• Medical, dental, and vision insurance.
• 401(k) plan with a company match.
• Paid time off and holidays.
• Professional development support.
• Employee wellness resources.