Clinical Support Auditor

🔥 0 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $78k - $119k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1994

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

Healthcare Insurance

DaVita Kidney Care is a leading healthcare company that provides dialysis and related treatments for patients with kidney disease. Committed to improving the quality of life for its patients, DaVita focuses on offering integrated kidney care and supporting its diverse team of healthcare professionals, including nurses, dietitians, social workers, and patient care technicians. The company emphasizes a strong culture, career development, and comprehensive benefits to create an inclusive and supportive work environment for its employees.

📋 Description

• Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for diagnosing medical conditions. • Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data. • Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing. • Communicate with providers and other healthcare team members to clarify information or provide additional documentation when needed. • Work directly with clinicians to improve the overall quality and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and acuity with an eye towards accurate medical coding). • Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results. • Meets accuracy and productivity metrics to ensure the team achieves established departmental goals. • Communicates with DaVita leaders to address documentation issues and trends. • Actively participates in all department meetings as scheduled. • Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable). • Partner with data analytics, coding, compliance and education departments for onboarding, ongoing and targeted education for all IKC APPs and IKC partner providers on documentation requirements for Medicare risk adjustment.

🎯 Requirements

• Associate's degree with a current active clinical license (RN) (required) • CCDS-O or CDIP (required or must be obtained within six months of hire) • CRC (required or must be obtained within one year of hire) • 5+ years of clinical experience as a Registered Nurse (adult-geriatric or family) (preferred) • 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required) • 1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required) • Solid clinical background in evidence-based medicine, including chronic disease management and prevention. • Experience in ICD-10 coding and documentation requirements and risk adjustment. • Knowledge of compliant query writing/process. • Ability to perform a comprehensive chart review of 20-30 medical records daily, with workload variations based on daily tasks. • Technical experience using EMR systems. • Proficiency in MS applications (Excel, Outlook, Teams, PowerPoint, Word) • Ability to travel for on-site meetings 2-4 times per year.

🏖️ Benefits

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out • Support for you and your family: Family resources, EAP counseling sessions, access Headspace ® , backup child and elder care, maternity/paternity leave and more • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.