Clinical Documentation Specialist

$37 - $57/Yr

Intermountain Healthcare - Broomfield, CO

Full-time - Mid Level

Broomfield, CO

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

The goal of the Clinical Documentation Specialist-Consultant is to educate leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall clinical picture and the representation of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices.

Responsibilities

• Assesses needs and develops, evaluates, and implements education plans, interventions, and training.
• Acts as an education leader, consultant, and mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment.
• Reviews medical records documentation for reimbursement, severity of illness and risk of mortality.
• Identifies opportunities for improving the quality of medical record documentation and confers with the caregiver regarding additional documentation required.
• Collects statistics from the reviews and maintains accurate records to document costs and benefits.
• Facilitates and enhances the coding and diagnosis-related group between physician and coding staff.

Requirements

• Bachelor's degree in a clinical field (e.g. RN, RRT, PT, OT, SLP, LCSW) from an accredited institution.
• Clinical license in state of practice (e.g. RN, RRT, PT, OT, SLP, LCSW).
• National Professional Coding Certification from AHIMA or AAPC.
• Certified Risk Adjustment Coder (CRC) certification from AAPC.
• Five years Risk adjustment coding experience.

Nice-to-haves

• Advanced level of experience with Microsoft Office applications.
• Advanced understanding of medical terminology, medical acronyms, anatomy and physiology.
• Demonstrated ability to learn new concepts and applications and be able to effectively teach them to others.
• Demonstrated ability to establish and maintain rapport with co-workers, physicians and other healthcare professionals.
• Experience leading a government-mandated Risk Adjustment audit.
• Cross trained on all Risk Adjustment models.

Benefits

• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.