CDI Specialist II

Who You Are

Youre a collaborative professional driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare dont deter youinstead you see them as opportunities to find innovative solutions that benefit the partners people and communities we serve. Honest Healths commitment to purpose innovation communities and kindness resonates with you inspiring you to bring commitment creativity and compassion into your work. Youre ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you Lets connect.

Who We Are

At Honest Health we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems physician organizations and payers to providers practices and patients to deliver innovative solutions that elevate care control costs and support long-term health. Guided by our core values were creating a value-driven model that creates lasting benefits for everyone now and into the future.

For us thats just an Honest days work.

Your Role

As a CDI Specialist II you will support physician offices within our established partnerships to assist them in Honests concurrent and retrospective programs to ensure accurate coding/documentation and comprehensive data collection. You serve as a subject matter expert in ICD-10-CM AHA Coding Clinic for ICD-10-CM and CMS Medicare Part C instructions and requirements for diagnostic coding. This expertise will also be used to educate internal team members and external providers about compliant accurate and comprehensive documentation and coding for their patient addition the CDI Specialist II role will include an analysis component designed to identify trends and educational opportunities for the external providers with whom we partner.

Primary Functions of the CDI Specialist II Include:

• Work collaboratively with physicians Advanced Practice Practitioners other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization clinical severity outcomes and quality are captured for the level of service rendered to all patients.

• Provide coding support education and training related to quality of documentation and diagnosis coding while adhering to ICD-10-CM Official Guidelines for Coding and Reporting AHA Coding Clinic and CMS Medicare Part C instructions and guidance.

• Audit clinical documentation and coded data to ensure appropriate support of diagnoses procedures treatment services rendered for reimbursement and reporting purposes.

• Design develop and deliver training presentations based upon documentation review findings.

• Identifies documentation performance opportunities communicates to leadership and develops an education strategy/plan for improvement.

• Prepare training and presentations on complex conditions providing guidance on appropriate documentation and coding.

• Deliver risk adjustment coding and documentation training to provider partners internal billing and coding team.

• Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

• High school diploma GED Associates degree or suitable equivalent

• 4years medical coding experience required

• 4 years provider engagement and education experience required

• CRC required

• CPC CCS CCS-P RHIT or RHIA required

• CDEO or CCDS-O preferred

• Auditing experience required

• CPMA preferred

• AAPC Approved Instructor preferred

• A thorough understanding of anatomy pathophysiology and medical terminology necessary to correctly code using CPT ICD-10 and HCPCS Level II coding systems

• Demonstrate understanding of current Quality Measure Initiatives including Value Based Care

• Demonstrate knowledge of pathophysiology disease management and coding guidelines

• Working knowledge of HIPAA Privacy and Security Rules

• Demonstrated proficiency in computer skills i.e. Microsoft Windows Outlook Excel Word PowerPoint Internet browsers Microsoft Teams

• Excellent communication skills both verbal and written

• Strong people skills and ability to build supportive relationships with providers

• Outstanding organizational skills and an ability to operate efficiently and independently

• CMS HCC Risk Adjustment experience required

• High attention to detail required

• Occasional travel to deliver education to providers in person may be required up to 15%

The base pay range for this role is $36.83 - $42.74. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.