Clinical Documentation Integrity Coding Quality Liaison
Clinical Documentation Integrity Coding Quality Liaison
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Job Description
We are so glad you are interested in joining Sutter Health!
Organization:
SHSOSutter Health System OfficeValleyPosition Overview:
Under the direction of CDI leadership the CDI Coding Quality Liaison oversees accuracy and completeness of the final coded set of diagnoses and procedures. After CDS chart review and potential and clinically appropriate query processes are completed the Liaison becomes a gatekeeper for any Second Level Review (SLR) requests. Using both ICD10 CM and PCS official coding guidelines as well as CDIrelated clinical expertise the Liaison identifies opportunities and intervention points to correct incomplete codes required to capture the quality of care and resource consumption. The CDI Coding Quality Liaison monitors both CDS and Coderinitiated SLR request topics for education development and dashboard metric contributions. Additionally the CDI Coding Quality Liaison Serves as a Diagnosis Related Group (DRG) expert supporting clinical documentation initiatives across their assigned market areas.Job Description:
EDUCATION:
- Bachelors degree
TYPICAL EXPERIENCE:
- 3 years IP Coding experience.
CERTIFICATION & LICENSURE:
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
SKILLS AND KNOWLEDGE:
- Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical preemployment test at a rate of 85% or better is required for new hires.
- Subject matter expertise in the area of clinical documentation to ensure the completeness of the patient records using multidisciplinary and interdisciplinary teams.
- High degree of hospital coding knowledge including but not limited to APRDRG MSDRG HCCs Medicare Medicaid & Managed Care in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality capture severity assess acuity and determine risk of mortality.
- Thorough knowledge of clinical documentation requirements clinical procedures disease processes treatments and the patient populations served.
- Subject matter expertise regarding quality and reimbursement implications of clinical documentation and coding.
- Uptodate knowledge of ICD10 mandate and the impact of code set transition including potential impact on data quality for prospective payments utilization and reimbursement.
- Demonstrated familiarity and adept use with software and technical applications including but not limited to: Microsoft Office products (Outlook Excel Word PowerPoint) Electronic Health Records Encoder Healthcare databases.
- Strong Organization and Quantitative Analysis skills including spreadsheet applications and statistics.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
VariableWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
NonExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $58.95 to $88.43 / hour. New Jersey Washington Pay Range is $58.95 to $88.43 / hour. Colorado Florida Georgia Illinois Michigan Minnesota Nevada North Carolina Ohio Oregon Pennsylvania Texas Virginia Pay Range is $53.06 to $79.59 / hour. Arizona Arkansas Idaho Louisiana Missouri Montana South Carolina Tennessee Utah Pay Range is $47.16 to $70.75 / hour.The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Employment Type
Full-Time
