Clinical Documentation Improvement Specialist II

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here

• Strong track record of providing excellent work/life balance.

• Comprehensive benefits package and competitive compensation.

• Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

Core values

Agility

• Strong organizational skills with the ability to multi-task in a fast paced environment.

• Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.

• Knowledge and understanding of medical coding and billing systems and regulatory requirements.

• Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.

Respect

• Relationship building skills - develop partnerships to drive results

• Must demonstrate professional manner and appearance with all communications.

Collaboration

• Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members, including physicians and executive level employees.

• Team Oriented with strong Influence and negotiation skills.

Courage

• Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.

• Must be able to work under moderate to high stress and pressure while maintaining a professional attitude.

• Strong analytical skills and the ability to work independently to analyze and solve problems.

• Adept at learning proprietary software applications.

Job description

Responsibilities

Primary Functions

• Perform ongoing outreach education for new and existing clinicians on Hospital Medicine coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic and web-based applications.

• To counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email, on a minimum of a monthly basis or as coordinated by Director of Documentation Assurance

• Educate and give feedback to all new clinicians on documentation performance within the first month of service.

• To advise and educate internal Operations teams on documentation/coding by phone, webinar, in person or by participating in Monthly Facility Team Meeting group sessions.

• Monthly Facility Report Card analysis and trending to identify documentation and RVU outliers at the facility or clinician level.

• Action Plan development and outreach prioritization.

• Individual clinician and/or facility documentation feedback and education.

• Medical Director and Operations Leadership report distribution and support.

• Outlier clinician /facility escalation using established policies and processes.

• Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives

• Educate and counsel clinicians on how to resolve external and internal chart queries

• Bi-weekly Clinician Onboarding WebEx presentations.

• Documentation of all outreach activity in SalesForce application.

• Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.

• Participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership.

• Travel to territories as required to provide in person documentation education, oversight, feedback, and training

• Collaborate with Data and Performance Analytics Team on clinician feedback

• Performs miscellaneous job-related duties as assigned.

Secondary Functions

• To function as a training resource during EMR upgrades via onsite or web-based

• To advise Coders on EMR function and documentation scenarios

• To provide information and feedback in meetings with internal Operations teams

• To conduct Bi-monthly reviews and analysis for the following:

• Acuity and RVU decreases

• Clinical Data Feeds

• EMR Transitions

• New Facility Starts

• Unbillable Visits

• To collect NP/PA, Resident, and Scribe Attestation Examples as needed for new facilities and EMR transitions

• To present onsite or web-based MIPS/MACRA documentation training to clinicians as needed

• To provide support on any ad hoc departmental projects

Knowledge, Skills, and Abilities

• Knowledge as it relates to, but not limited to, Electronic Health Record, health information systems and healthcare applications and their effects on Coding practices today and in the future

• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelines

• Extensive knowledge of hospital and professional coding including ProFee Services beneficial

• Knowledge of medical terminology, classifications systems, and vocabularies

• Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.

• Excellent oral, written, and interpersonal communication skills for working with all different levels of professionals, including physicians, external and other internal partners

• Strong analytical skills, data presentation, technical capabilities, and metric management

• Must be able to execute on analysis and recommend outcomes based on interpretation of data

• Team Oriented with strong Influence and negotiation skills

• Relationship building skills - develop partnerships to drive results

• Problem solving skills, good critical thinking, and decision-making skills

• Strong organizational skills with the ability to multi-task in a fast-paced environment

• Ability to prioritize and adhere to strict deadlines

• Ability to work independently and multitask in a fast-paced Global environment

• Ability to troubleshoot issues independently

• Adeptness at learning proprietary software applications

• Must be able to conduct themselves in a professional manner via phone, e-mail, business letters and fax

• Must be able to work under moderate to high stress and pressure while maintaining a professional attitude

Pay Range

50,751.00 - 72,120.00 USD annually

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.

Visit our website for further information. https://myscpbenefits.com/

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