Role Description
Join TriHealth as a Facility Outpatient Clinical Documentation Specialist!!! In this role, you’ll collaborate closely with clinicians, leaders, and operational teams to strengthen documentation practices, optimize charge capture, and support compliant, high‑quality patient care. Your expertise will directly influence organizational performance while allowing you to lead education, process improvement, and system‑wide initiatives.
Qualifications
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Bachelor’s Degree
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Registered Nurse or Licensed Practical Nurse, or Registered Health Information Administrator, or Registered Health Information Technician, ACDIS - Association of Clinical Documentation Integrity Specialists credential, or Certified Professional Coder, Certified Outpatient Coder, Or Certified Documentation Expert Outpatient
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General understanding of hospital-based outpatient charging, coding, and/or revenue capture functions
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Knowledge of APC and OPPS reimbursement structures (preferred)
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Strong project management skills
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Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads
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Skilled ability and comfort with electronic medical records (EPIC preferred), and hospital billing functions
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Proficient with personal computer applications (Excel, Word, and Power Point)
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Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously
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Ability to organize and work with minimum supervision at a high level of motivation and initiative while being entrepreneurial, creative and results oriented
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Strong problem solving and investigative skills
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5-7 years’ experience of healthcare knowledge typically obtained from experience as a clinical caregiver or manager, coding specialist, and/or a revenue integrity team member
Requirements
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Regularly conduct chart reviews of clinical departments to review documentation and charge accuracy
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Perform shadowing and coaching with key stakeholders in the clinical departments
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Perform revenue optimization functions including:
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Review of accounts for potential missing documentation, coding and charging
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Identify root cause of missing charges
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Educate Clinical and Ancillary Departments
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Perform process improvement activities aimed at revenue optimization
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Coordinate with the Clinical Departments, Coding, CDM, and other key stakeholders
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Analyze patient clinical and billing data and conduct chart reviews
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Summarize findings, prepare reporting and feedback for clinical departments and finance teams
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Coordinate projects to build upon documentation improvement and charge capture processes
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Develop and maintain project plans and project tracking
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Maintain current knowledge of applicable regulatory standards
Benefits
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Comprehensive benefits package including medical, dental, vision
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Paid time off
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Retirement plans
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Tuition reimbursement