Overview Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely with flexibility to engage in travel to practices as needed Competitive salary based on experience and qualifications Supportive work environment focused on improving patient data accuracy Chance to make a positive impact on clinical documentation and coding practices What to Expect (Job Responsibilities) Perform chart reviews to identify opportunities for improved accuracy in clinical documentation and coding Evaluate and optimize end-to-end clinical documentation, billing, and coding workflows Work directly with provider practices on continuous improvement of documentation and diagnosis coding Deliver education and training on clinical documentation and diagnosis coding for value-based contracts Facilitate communication regarding documentation and coding best practices among stakeholders What is Required (Qualifications) Bachelor’s degree in a healthcare-related field or equivalent work experience Current certification as a Certified Professional Coder (CPC) or equivalent Certified Documentation Expert Outpatient (CDEO®) or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) Minimum of 3 years of recent, relevant work experience in Clinical Documentation Integrity (CDI) or 5+ years as a risk adjustment auditor Familiarity with medical coding guidelines, regulations, and the CMS HCC Risk Adjustment program How to Stand Out (Preferred Qualifications) Successful track record in outpatient coding and billing Strong understanding of value-based care principles and their impact on risk adjustment payment models Excellent communication skills to articulate documentation initiatives effectively Ability to work collaboratively across clinical and non-clinical teams References demonstrating a high degree of integrity and professional accountability
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