Ambulatory CDI Specialist (Remote)
Ambulatory CDI Specialist (Remote)
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Job Description
Specialist Ambulatory CDI
Schedule: Full time.Flexible Shifts! You decide what time/day of the week you want to complete your 40hrs. On occasion schedule adjustment will be necessary for mandatory department meetings/project based meetings to accommodate all time zones.
Job Location Type:Remote. All United States time zones are welcome.
Your experience matters
At Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team youll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
How youll contribute
The Outpatient Clinical Documentation Integrity Specialist (OP CDS) nurse bridges the gap between providers coders and revenue cycle using clinical knowledge and coding guidelines to clarify at-risk documentation to ensure accuracy of conditions submitted to payer organizations. The CDS nurse will be accountable for reviewing ambulatory patient medical records to capture an accurate disease burden over the specified population and facilitate proper documentation and coding. The current focus is on identifying opportunities for improved documentation through a 23-year EHR (Electronic Health Record) look back among attributed patients in the AdvantagePoint Health Alliance clinically integrated networks.
ASpecialist Ambulatory CDI who excels in this role:
To perform this job an individual must perform each essential function satisfactorily with or without reasonable accommodation.
Demonstrate ability to build strong working relationships with clinicians administrators and revenue cycle colleagues.
Leverage effective communication skills to bridge interrelated clinical concepts to coding guidelines and processes to deliver results through the Outpatient CDI (Clinical Documentation Integrity) program.
Prioritize and organize time and materials balancing physician documentation and education needs with competing priorities and deadlines.
Understand various payment structures fee schedules and reimbursement methodologies in the outpatient setting and how physician documentation translates into ICD-10-CM codes for claims submission to meet reporting requirements.
Subject matter expertise in importance of excellent provider documentation and how it translates into coding accuracy risk adjustment best practices and supports medical necessity which improves quality of care and patient outcomes for outpatient services.
Deliver educational presentations to physicians (on-boarding one-on-one or routinely) group practices and administration.
Demonstrate responsibility and accountability for personal development by participating in continuing education internal/external offerings for risk adjustment and/or CDI requirements ICD-10-CM code assignment and coding guidelines.
Adherence to HIPAA (Health Insurance Portability and Accountability Act) regulations/standards in maintaining the confidentiality and integrity of all protected health information regardless of format.
Ability to navigate multiple electronic medical records (EMRs) and side by side technologies to streamline longitudinal record analysis.
Exhibit commitment to or willingness to learn compliant query practice in query development structure provision of relevant choices and follow-up per the ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice
Why join us
We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:
Comprehensive Benefits:Multiple levels of medical dental and vision coverageperiod tailored benefit options for part-time and PRN employees and more.
Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
Professional Development:Ongoing learning and career advancement opportunities.
What were looking for
Education:This position requires a minimum of LPN/VPN or RN licensure and certification for coding or CDI.
Experience: A minimum of 3 years of nursing and risk adjustment experience in an ambulatory setting. Inpatient CDI experience in the acute care setting may also be considered.
Licensure / Certification: Requires current License Practical Nurse Licensed Vocational Nurse or Registered Nurse licensure. Certified Clinical Documentation Specialist - Outpatient (CCDS-O) orCertified Documentation Expert Outpatient (CDEO) preferred or obtained within two years. Certified Risk Adjustment Coder (CRC) Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) a plus in lieu of CCDS-O or CDEO.
EEOC Statement
Lifepoint Healthan Equal Opportunity Employer.Lifepoint Healthis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
Employment Sponsorship Statement
You must be work authorized in the United States without the need for employer sponsorship
Required Experience:
Unclear Seniority
Employment Type
Full-Time
