Clinical Documentation Specialist – Outpatient

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $85k - $120k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

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Reveleer

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Reveleer is a healthcare technology company that specializes in providing an end-to-end platform for value-based care. Their platform leverages artificial intelligence to automate tasks, improve efficiency, and enhance patient care by consolidating risk adjustment and quality improvement workflows. Reveleer helps healthcare organizations streamline their operations through intelligent data acquisition, enhancing productivity and ensuring accurate reimbursement. With a focus on healthcare intelligence, Reveleer integrates with HIEs and EHR systems to improve care delivery and capture relevant diagnoses. They have a significant presence in the healthcare industry, working with various health plans to maximize their performance and patient outcomes.

📋 Description

• Facilitate improvement in the overall quality and completeness of Clinical Intelligence’s recapture and suspecting performance • Review patient records to identify and validate Hierarchical Condition Category (HCC) diagnoses • Query providers to ensure accurate and complete documentation supporting HCC and condition-related diagnoses • Enhance RAF score accuracy and improve risk adjustment outcomes • Apply medical terminology, disease process, treatment modality, diagnostic test, medication, and procedure knowledge to identify documentation gaps • Validate recapture and suspect conditions based on clinical evidence • Validate that documentation supports reported conditions • Create queries reflecting best practice • Formulate recommendations to improve clinical logic and workflows • Maintain strict confidentiality of patient information in accordance with privacy regulations

🎯 Requirements

• Graduate of an accredited nursing education program • Active and unrestricted Registered Nurse or Advanced Practice Provider license • Certified Documentation Expert-Outpatient (CDEO) or Certified Clinical Documentation Specialist- Outpatient (CCDS-O) or Certified Documentation Improvement Practitioner (CDIP) and Certified Risk Adjustment Coder (CRC) • Minimum of 2 years outpatient CDI experience • Experience navigating Epic, Athena, and Cerner EMRs • 5 years of clinical experience • Strong understanding of CMS, HHS, Medicaid, and Rx HCC models • Up to date with industry standards related to HCC documentation, ICD-10-CM coding, AHA Coding Clinics, and Official Coding Guidelines • Proficient in the use of electronic medical records and technology enabling solutions • Bachelor’s Degree in Nursing preferred • Ambulatory clinical experience preferred • Must complete E-Verify requirements for new hires

🏖️ Benefits

• Competitive salary • Medical, Dental and Vision benefits • 401k match • Generous PTO plan