Ambulatory CDI Specialist - Coding
About The Position
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety. Our coding professionals are committed to the management of coded health care information in order to maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records. Activities include the processing of billing codes for professional medical services and communication with physicians and Revenue Management staff to ensure that the transfer of information is accurate and secure and in compliance with Federal and State laws and regulations. The Specialist is responsible for the delivery of clinical documentation improvement (CDI) review and education to physicians and other staff in the professional billing settings. You will also be responsible to develop, implement, and evaluate CDI education for Physicians, Physician Coding Department, and administrative staff, including proposing clinical documentation improvements based on chart reviews and data analytics. The Specialist will also complete post-claim reviews as assigned and serve as the primary resource for clinical documentation improvement. We are looking for someone who is confident working with minimal supervision in a diverse professional environment and if you are motivated and enthusiastic, able to set work priorities independently, pay strong attention to detail and are committed to creating a healthier Hawai'i.
Requirements
- Must meet education requirements for Hawai'i State licensing
- Current Hawai'i Registered Nurse (RN) or Licensed Practical Nurse (LPN) license
- Current Basic Life Support for Healthcare Professionals (BLS/HCP) card
- Three (3) years of clinical experience
Nice To Haves
- Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS)
- Previous experience providing education to physicians and advanced practice providers (APPs)
- Previous experience with risk adjustment coding or clinical documentation improvement (CDI)
Responsibilities
- delivery of clinical documentation improvement (CDI) review
- CDI education to physicians and other staff in the professional billing settings
- develop, implement, and evaluate CDI education for Physicians, Physician Coding Department, and administrative staff
- proposing clinical documentation improvements based on chart reviews and data analytics
- complete post-claim reviews as assigned
- serve as the primary resource for clinical documentation improvement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
