Clinical Documentation Specialist

Omega Healthcare Management Services • Boca Raton, FL

4d • Remote

About The Position

The Clinical Documentation Specialist coordinates and maintains the elements and requirements of the Clinical Documentation Improvement Program, including staff and physician education, to ensure the highest quality of documentation in support of compliance and accurate representation of the care provided to the patient.

Requirements

• Ability to prioritize and multi-task in a multifaceted environment.
• Demonstrate strong organizational skills and be detail oriented.
• Demonstrate ability to self-motivate, set goals, and meet deadlines.
• Demonstrate mentoring and interpersonal skills.
• Demonstrate excellent presentation, verbal, and written communication skills.
• Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
• Maintains courteous and professional working relationships with employees at all levels of the organization.
• Demonstrate successful leadership skills with the use of critical thinking, problem solving, and deductive reasoning required.
• Specialized training in advanced computer skills with proficiency in Microsoft Word, Excel, Power Point, and Outlook e-mail required.
• CDI with 3+ years experience working as a CDI at level 1 trauma academic health system
• Audit experience and review of quality initiatives (PSI, Mortality)
• Worked on multiple projects in a CDI role.
• Reconciliation experience.
• Epic and 3M 360 Experience
• Ok with a 2 month project able to work fulltime during business hours (EST) 8 hours a M-F
• Able to pick up new workflows and technology easily
• Able to ramp up productivity in 4 weeks
• Maintain 95% accuracy
• Good written and verbal communication
• must have CCDS or CDIP certification

Nice To Haves

• Additional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferred
• Experience working for a Maryland organization preferred.

Responsibilities

• Coordinates and maintains all elements of the Clinical Documentation Improvement Program in order to meet the goals and objectives of the organization and its stakeholders.
• Meet CDI program objectives, goals, and balance scorecard metrics.
• Ensures timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
• Ensure effective communications with key stakeholders.
• Analyzes data, creates reports to meet desired outcomes.
• Identifies trends and opportunities for improvement in clinical documentation.
• Meets program quality and productivity guidelines and standards.
• Collaborates with coding professionals to fully support the needs of clinical code assignment, communicates proficiently with coding professionals to resolve identified discrepancies.
• Work effectively with CDI team members to accomplish departmental goals.
• Demonstrates continued advancement in professional growth.
• Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Benefits

• Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law.
• Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.
• Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances.

What This Job Offers

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