Clinical Documentation Improvement Specialist

4 weeks ago

Miami, United States Amerit Consulting Full time

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Clinical Documentation Improvement Specialist.




________________________________________________

NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES NO C2C/1099





*** Candidate must be authorized to work in USA without requiring sponsorship ***




Position: Clinical Documentation Improvement Specialist (Job Id – 2557071)

Location: Los Angeles CA 90024 (100% REMOTE)

Duration: 2 Years + Strong Possibility of Extension

_______________________________________________________



Job Description:


Under the direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks.



  • Clinical Documentation Specialists are responsible and accountable for the day-to-day anagement and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with specific department staff, speaking, meeting and educating physicians, residents and mid-levels, and assisting with the development and implementation of clinical documentation improvement processes.
  • CDSs work in conjunction with Medical Coding, Case Management and other health team members to gather and analyze information in order to provide for comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnosis for inpatients.
  • The Clinical Documentation Specialist utilizes clinical expertise and some coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes, including quality measures.
  • Physician queries are generated to assist and improve the quality of the documentation.
  • CDSs also supply support to the Medical Coders, Quality staff and revenue cycle team in the complaint coding and processing of inpatient claims.


Required Experience:



  • Must have an US RN or US MD certification·
  • Minimum 5 years’ experience as CDS, some or all of which must be with an Academic Medical Center
  • Be able to discuss medical diagnostic topics
  • Be familiar with coding as it relates to documentation
  • Have worked in an EPIC and 3M 360 Encompass (CAC) software environment




Skills:


  • Ability to effectively communicate to physician/staff the necessity/appropriateness of clinical documentation
  • Ability to effectively communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization.
  • Skills in setting priorities that accurately reflect the relative importance of job responsibilities.
  • Skill in abstracting and interpreting medical information from patient records.
  • Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning functions of government programs such Medicare, Medi-Cal, and CCS.
  • Clinical experience sufficient to understand and communicate medical diagnosis and courses of treatment to professional and non-professional personnel.
  • Immediate knowledge of computer word processing, database programs and ability to write reports and do graphical analysis.

_________________________________________________________________



Bhupesh Khurana

Lead Technical Recruiter

Email – bkhurana@ameritconsulting.com



CompanyOverview:


Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.



Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.


Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.

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