Clinical Reviewer, Diagnosis Accuracy

Park Nicollet is looking to hire a Diagnosis Accuracy Clinical Reviewer to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

Highly skilled clinician to support the ongoing work of the Diagnosis Accuracy Program. The individual will review patient records to assess diagnosis code specificity identify documentation and coding opportunities based on supporting clinical evidence and validate suspect conditions.

Required Qualifications:

Education Experience or Equivalent Combination:

• Advanced Practice Clinicians either Master of Science in Nursing degree (Nurse Practitioner) Physician Assistant (PA) orRegistered Nurse (RN) with clinical coding experience

• Minimum two years clinical experience

• Maintain a current active unrestricted state licensed/certification as a Nurse Practitioner (NP) Physician Assistant (PA) or Registered Nurse

Licensure/ Registration/ Certification:

Knowledge Skills and Abilities:

• Strongclinical background with indepth knowledge of medical terminology pathophysiology pharmacology and disease interactions supported by sound clinical judgment and ability to interpret complex medical information.

• Strong and demonstrated PC skills are required along with an ability to learn new systems.

• Experience with electronic medical record and billing modules (e.g. Epic)

• Strong verbal and written communication skills

• Ability to work with others and develop consensus among differing parties.

• Knowledge of ICD-10 diagnosis coding clinical documentation requirements and clinical documentation improvement concepts

• Ability to self-direct work detail orientated and organized

• Ability to manage and impart confidential information

Preferred Qualifications:

Licensure/ Registration/ Certification:

• Recommend Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) Certification AHIMA accredited Registered Health Information (RHIT) or Registered Health Information Administer (RHIA) Certified Documentation Expert Outpatient (CDEO)
  • Recommend Certified Risk Coder (CRC) certification

• Certified Clinical Documentation Specialist Outpatient (CCDS-O)

Knowledge Skills and Abilities:

• Knowledge of multiple payment and risk adjustment methodologies used by government and commercial payers
• Ability to work collaboratively with others

• Ability to work in an ever-changing environment with differing perspectives and ability to resolve situations effectively

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance dental insurance a retirement program time away from work insurance options tuition reimbursement an employee assistance program onsite clinic and much more!