Analyst, Clinical Documentation Auditor

CVS Health•Baton Rouge, LA

7d•$21 - $37•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Analyst, Clinical Documentation Auditor Location: Remote Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be. Role Description The Clinical Documentation Auditor is a vital member of the Population Health Clinical Documentation auditing team at Oak Street Health. S/he champions the organization's mission to provide high quality patient care by providing measurable, actionable feedback to providers that will result in improved documentation accuracy and coding practice. The role will collaborate with providers, coders, payers, and a variety of internal and external personnel on a wide scope of Clinical Documentation Auditing education efforts.

Requirements

At least 3 years of experience in Medicare risk adjustment coding
At least 3 years of experience in assigning/auditing ICD-10 CM codes to outpatient records
Ability to succeed in a face-paced, ever-changing environment
Self-starter with high degree of drive, initiative, and follow through
Expert in accurate and specific documentation
Strong communication skills
A flexible and positive attitude
Strong computer skills and basic knowledge of Microsoft Excel
Ability to work independently with minimum supervision, excellent reliability, and a positive attitude
CRC (“Certified Risk Coder”) credential is required
US work authorization
“Oakiness” - driven by our mission, exuding positive energy, scrappy, roll-up-your-sleeves attitude

Nice To Haves

RN or LPN certification preferred

Responsibilities

The Clinical Documentation Auditor will comprehensively review outpatient provider notes for accuracy and completeness.
Synthesize coding correction opportunities for ongoing provider education.
Audit team members should achieve 90%+ audit results on coding correction accuracy and less than 25% on missed coding correction opportunities.
Auditing team members should review on average a minimum of 20 provider notes per day.
Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes
Auditing team members should be able to identify trends and training opportunities to support clinical documentation accuracy improvement.
Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes
Other duties as assigned

Benefits

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
Collaborative and energetic culture
High levels of responsibility and rapid advancement
Headquarters (the “Treehouse”) located in the heart of Downtown, close to many public transit options and great restaurants
Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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