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Clinical Documentation Integrity Specialist

April, 22

  • usaMemphis, TN / Elkridge, MD / Arlington, VA
  • usaFull Time
  • usaProvider Networks & ACO Support
  • usaRemote
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Overview: - Lead field and provider education and training on diagnostic documentation and coding. - Ensure compliance with ICD-10 CM coding guidelines, internal protocols, and CMS/payer guidelines. - Optimize clinical documentation, billing, and coding workflows. - Facilitate communication among stakeholders regarding documentation and coding best practices. Key Responsibilities: - Perform chart reviews to enhance accuracy in clinical documentation and coding. - Develop and implement action plans for improving documentation and coding completeness and accuracy. - Deliver education and training on clinical documentation and coding for value-based contracts. - Work directly with Aledade practices and providers on documentation and coding improvement. - Provide guidance on documentation and coding best practices and risk adjustment. Requirements/Skills/Qualifications: - Bachelor’s degree in healthcare or equivalent work experience. - Certification as a CPC, CDEO®, or CCDS-O. - 3+ years of recent, relevant work experience in CDI or 5+ years as a risk adjustment auditor. - Familiarity with anatomy, physiology, disease processes, medical terminology, and coding guidelines. - Strong verbal and written communication skills. - Proficiency in Google Suite tools. - Experience with value-based care principles and impact on risk adjustment payment models. - Ability to identify and communicate opportunities for improving documentation and coding. - Collaborative skills and ability to work with Aledade teams. Compensation & Benefits: - Not specified in the provided text.
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