Clinical Documentation Improvement Specialist I

SCP Health • Atlanta, GA

14d • Onsite

About The Position

At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Why you will love working here: - Strong track record of providing excellent work/life balance. - Comprehensive benefits package and competitive compensation. - Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

Requirements

• Maintain knowledge of EMR’s, i.e., Allscripts, Cerner, CPSI, EPIC, McKesson, Paragon, Medhost, Meditech
• Basic knowledge in Microsoft office suite
• Experience in clinician CMS documentation guidelines
• Ability to learn additional reporting avenues and systems
• Bachelor's degree - required
• 2 years' experience in Hospital or Physician practice environment performing related job duties as described above.
• 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.

Nice To Haves

• Health Information Management (HIM), Nursing, Other healthcare related field
• 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
• 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

Responsibilities

• 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.
• Understands the department's strategic plans and performance measures required to support that plan.
• Continues to seek out tasks and other initiatives that provides the opportunity for growth and development in the CDIS field.
• 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)

Benefits

• comprehensive benefits package
• medical dental, vision insurance
• a 401(k) plan with a company match
• paid time off and holidays
• professional development support
• employee wellness resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level