Clinical Documentation Specialist

3 days ago


Tucson, Arizona, United States Second Wave Delivery Systems, LLC Full time
Job Summary

We are seeking a highly skilled Clinical Documentation Specialist to join our team at Second Wave Delivery Systems, LLC. As a key member of our Care Team, you will be responsible for managing the end-to-end workflow to support the deployment and reconciliation of clinical documentation alerts.

Key Responsibilities
  • Provider Engagement: Operate as the primary contact for specified outpatient medical practices to ensure CDI Alert deployment and appropriate provider engagement.
  • Clinical Documentation Management: Navigate available EMR and paper systems to ensure the Care Team has the requisite patient clinical documentation on a regular basis to support work efforts.
  • Workflow Alignment: Align with the Client Delivery Manager to ensure CDI Alert distribution and reconciliation protocol is followed in accordance with the established workflow and patient scheduling for the specified practice.
  • Reporting and Communication: Submit daily reports to the Care Team enabling effective management of CDI Alert deployment, response, medical record (re)reviews, and case closure.
  • Program Performance Assessment: Actively assess program performance at the ground level and immediately notify the Care Team of challenges hindering success.
  • Coding and Workflow Guidelines: Follow all coding and workflow guidelines specific to SWDS and the assigned medical practice under management.
  • Provider Education and Support: Respond to inquiries at the provider level pertaining to ICD-10-CM diagnoses that map to a Risk-Adjusted HCC for Medicare and Medicaid.
  • Education and Training: Coordinate physician to physician education as needed.
  • Process Improvement: Participate in program and process improvement activities.
Requirements
  • Experience: Minimum of 5 years of medical office experience.
  • Knowledge and Skills: Excellent organization and problem-solving skills required. Strong oral and written communication skills required. Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes. Knowledge of ICD-10-CM coding guidelines is required. Advanced technical skills for use of MS Office (Excel, Word, Outlook, and PowerPoint). Demonstrated ability to utilize a variety of electronic medical records systems.


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