Description
The Outpatient Clinical Documentation Improvement Specialist ("OP CDS") is responsible for activities which improve the accuracy of facility outpatient clinical documentation and charging including education with the clinical departments and root cause correction to support accurate charging and coding in compliance with Hospital/Health System policies. The OP CDS assists clinical areas to effectively document services and understand the relationship of documentation, medical necessity, and charging for the services provided in accordance with Hospital/Health System policies and procedures. This position supports a multi-facility health system, and as such, requires the ability to travel to various Catholic Health facilities throughout the Health System.
Responsibilities
Education
- Bachelor's degree or over five (5) years of related healthcare experience in lieu of degree.
- Strong preference will be given to candidates who have one or more of the following credentials RN, LPN, RHIA, RHIT, CPC, COC, or CDEO.
Experience
- Five (5) or more years of healthcare knowledge typically obtained from experience as a clinical caregiver or manager, coding specialist, and/or a revenue management/cycle professional staff person.
- General understanding of hospital-based outpatient charging, coding, and/or revenue capture functions.
Knowledge, Skill, and Ability
- Knowledge of APC and OPPS reimbursement structures preferred
- Possesses strong project management skills.
- Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads.
- Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred), and hospital billing functions.
- Proficient with Microsoft Office computer applications (Excel, Word, and Power Point).
- Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously.
- Ability to organize and work with minimum supervision at a high level of motivation and initiative while being entrepreneurial, creative and results oriented.
- Effective verbal and written communication skills, good listening skills, and the ability to interpret end users' needs.
- Strong problem solving and investigative skills.