Clinician Documentation Educator
About The Position
The Clinician Documentation Educator is responsible for analyzing ERP trend sheet, PCCI and open coder comms reports for deficiency trends. Proactively notify clinicians of their deficiencies per escalation SOP. This is a remote position. The Clinician Documentation Educator analyzes coder communication and other reports for trends. Reviews medical records and identifies potential gaps in clinical documentation for emergency medicine and payer populations (e.g., Medicare, Medicaid, Blue Cross/Blue Shield, etc.) as directed. Identifies and trends erroneous coder communication. Remains current in EHR/EMR capabilities and updates. Works with site Directors and EHR/EMR reps to ensure proper documentation, compliance with CMS, CPT, ICD-10 and USACS guidelines and ensures that USACS receives a chart extract containing all necessary components. Analyzes reports for trends. Data is reviewed and manipulated to provide clinician feedback for documentation improvement. Maintains knowledge of current trends, practices and principles of documentation and government regulations through reading materials and/or attending educational seminars. Performs and assists with coding and other department duties as needed. Demonstrates basic knowledge of coding standards and application to ongoing evaluation of medical record documentation. Consistently meets established productivity targets for record review.
Requirements
- Knowledge of and experience using ICD-9-CM, ICD-10-CM and CPT and HCPCS coding.
- Knowledge of payer guidelines.
- Knowledge of and skill using personal computers in a Windows environment with an emphasis on word processing, spreadsheets, and data entry.
- Ability to pay close attention to detail.
- Ability to identify, research and solve problems and discrepancies.
- Ability to organize data and produce outcome statistics.
- Ability to professionally and effectively communicate in writing or verbally with physicians, coworkers, management, and third-party payers.
- Ability to maintain confidentiality.
- Ability to effectively perform in a multi-task work environment.
- Ability to process assigned duties in an organized manner.
- High school diploma or equivalent.
- RHIT, RHIA, CPC, CCS-P, or other job-related accreditation required.
- At least one year of coding experience or equivalent training/education.
- Demonstrated knowledge of industry guidelines and regulations required.
Responsibilities
- Analyzes coder communication and other reports for trends.
- Reviews medical records and identifies potential gaps in clinical documentation for emergency medicine and payer populations (e.g., Medicare, Medicaid, Blue Cross/Blue Shield, etc.) as directed.
- Identify and trend erroneous coder communication.
- Remains current in EHR/EMR capabilities and updates.
- Works with site Directors and EHR/EMR reps to ensure proper documentation, compliance with CMS, CPT, ICD-10 and USACS guidelines and ensure that USACS receives a chart extract containing all necessary components.
- Analyzes reports for trends.
- Data is reviewed and manipulated to provide clinician feedback for documentation improvement.
- Maintains knowledge of current trends, practices and principles of documentation and government regulations through reading materials and/or attending educational seminars.
- Performs and assists with coding and other department duties as needed.
- Demonstrates basic knowledge of coding standards and application to ongoing evaluation of medical record documentation
- Consistently meets established productivity targets for record review
Benefits
- Medical, dental, and vision insurance options
- Health savings accounts (HSA) and flexible spending accounts (FSA)
- 401(k) employee and employer contributions
- Paid time off, including vacation, sick leave, and company holidays
- Paid parental leave & family support benefits
- Short-term and long-term disability insurance
- Life and accidental death & dismemberment (AD&D) insurance
- Employee assistance programs & wellness resources
- Bonus eligibility, equity, or other incentive programs, depending on the role.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
