Clinical Documentation Specialist

Job not on LinkedIn

🕒 May 27

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels • Assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity • Focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs) • Complete pre-visit and post-claim reviews as well as providing clear communication and education to providers on their documentation, coding and billing practices • Coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation

🎯 Requirements

• High School Equivalent / GED (Required) • Associate's Degree (Preferred) • 3+ years Coding and/or clinical documentation integrity (Required) • Extensive clinical knowledge and understanding of pathophysiology (Required proficiency) • Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient acuity and clarifications of the medical record (Required proficiency) • Excellent written and verbal communication skills (Required proficiency) • Strong project management skills (Required proficiency) • Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization (Required proficiency) • Ability to work independently in a time-oriented environment (Required proficiency) • Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) (Required proficiency) • Proficient with personal computer applications (Excel, Word, and Power Point) (Required proficiency) • Ability to build education material that is meaningful for providers and team members (Required proficiency) • Strong problem solving and investigative skills (Required proficiency)

🏖️ Benefits

• Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines • Shares in organization’s vision, demonstrates its values, supports its philosophy and is sensitive to its mission.