Clinical Documentation Improvement Specialist II

SCP HealthLafayette, LA
$50,751 - $72,120Onsite

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.

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
  • 4+ years of job specific experience in Hospital or Physician practice environment
  • 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

Nice To Haves

  • Experience with Emergency Medicine, Hospital Medicine, Urgent Care documentation and coding guidelines preferred
  • 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 minimum portfolio of 30 diverse 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.
  • Understand and provide support to or lead specific tasks focused on the seamless implementation of the EMR documentation strategic plan.
  • Continue to seek out tasks and other initiatives that provide the opportunity for growth and development in the CDIS field.
  • Provide support to junior team members using educational tools, videos and provided Webex’s.
  • Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives.
  • 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).
  • Identify trends and problem resolution in clinician documentation/coding impacting billing, RVU, and Coding assignment.
  • Communication on clinician documentation issues identified with Facility C-Suite, HIM, IT, Clinicians including Med Director, and SCP Operators.
  • Communication on chart flow issues, errors, and resolution identified internally and externally.

Benefits

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