Clinical Documentation Improvement Specialist

3 weeks ago

Wichita, United States Trajectory RCS, LLC Full time
Job DescriptionJob DescriptionTrajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation.
MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company.
The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients’ efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services.
For additional detailed information please review  www.medhq.com and www.trajectoryrcs.com

POSITION SUMMARY  
The Clinical Documentation Improvement Specialist plays a pivotal role in ensuring accurate clinical documentation within Trajectory RCS, an outsourced revenue cycle management company. Working remotely, the CDI Specialist collaborates directly with healthcare providers and coders to capture precise diagnoses for coding and compliance purposes. A clinical background, preferably as a registered nurse or advanced nurse practitioner, is required for this role.

This remote position offers the opportunity to contribute to the accuracy of clinical documentation while supporting coding and compliance efforts within a fast growth revenue cycle management company. The CDI Specialist is passionate about optimizing healthcare documentation and ensuring quality patient care.
 
The successful candidate will possess the initiative and drive to demonstrate the MedHQ RITE values. Candidates will thrive in a metric driven, scorecard-based environment.
PRIMARY RESPONSIBILITIES
  • Collaborate with healthcare providers to accurately capture and document patient diagnoses in medical records.
  • Review clinical documentation to ensure it reflects the severity of illness and risk of mortality.
  • Educate and train providers on documentation best practices to support accurate coding and compliance.
  • Work closely with providers to concurrently clarify clinical documentation queries and resolve discrepancies.
  • Conduct concurrent audits on all inpatient admissions to assess documentation quality and identify areas for improvement.
  • Stay updated on coding guidelines, regulations, and industry trends to ensure compliance.
  • Provide support during coding and billing processes to ensure accurate reimbursement and revenue integrity.
  • Communicate effectively with interdisciplinary teams to streamline documentation workflows and enhance efficiency.

CANDIDATE QUALIFICATIONS/EXPERIENCE
  • Candidates will have a minimum of three years’ progressive Clinical Documentation Improvement experience within a provider-based or outsource environment, with preference given to those coming from a fast paced, high growth company. 
  • A solid foundation will exist from a clinical background as a registered nurse, advanced nurse practitioner or a physician assistant.
  • Strong understanding of medical terminology, disease processes, and clinical documentation requirements.
  • Knowledge of coding guidelines (ICD-10-CM/PCS, CPT, HCPCS) and compliance regulations.
  • Experience and success in a CDI role in both surgical and medical cases. 
  • Excellent communication and interpersonal skills to effectively collaborate with healthcare providers and coding staff.
  • Detail-oriented with the ability to analyze complex medical records and identify documentation deficiencies.
  • Proficiency in remote communication tools and electronic health record (EHR) systems.
  • Ability to work independently and manage multiple priorities in a remote environment.
  • Commitment to maintaining confidentiality and adhering to ethical standards in healthcare documentation.
  • Commitment to ongoing professional development and continuous learning to stay abreast of industry trends and emerging best practices.
  • Multilocation experience and the ability to thrive on complexity are necessary.
  • Strong subject matter expertise in Cerner is an enhancement to candidacy.
  • Demonstrated skills will be reflective of the MedHQ  and Trajectory RCS  values, empowering others, leading by example, and a consistent willingness to roll up one’s sleeves.
  • Excellent verbal, written, and listening communication skills and experience.
  • Candidates will be perceived as credible, experienced professionals who can inspire confidence and trust.
EDUCATION
  • Bachelor of Science in Nursing BSN, RN Degree, Advanced Nurse Practitioner, Physician Assistant, PA
  • CDIS certification strongly preferred

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