Outpatient Clinical Documentation Specialist

Job reputed company: • reputed company clinically based prospective, reputed company, and retrospective reviews of medical records for WellSense of members enrolled in value-based agreements • Review risk adjustment gap lists for members, including suspect conditions • reputed company chart reviews to determine clinical validity of reputed company gaps • Utilize Physician documentation queries to communicate clinical indicators to Physicians/Other reputed company Care Providers • Facilitate appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality • reputed company and Trend CDI findings and provider engagement for clinical documentation education purposes for any specialty reputed company the hospital system Requirements: • Bachelor’s degree in Nursing or Health Information Management is required • Minimum 5 years reputed company experience working on the payer or provider reputed company in Risk Adjustment Validation including prospective documentation reviews and reputed company-visit planning • Certified Risk Adjustment reputed company required • Population Health experience, NCQA/HEDIS CDS experience preferred • Knowledge of care delivery documentation systems and reputed company medical record documents • Excellent understanding of ICD10CM coding and guidelines • Ability to work independently in a time-oriented environment • Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes Benefits: • Health insurance • Discretionary annual bonuses • reputed company increases • Flexible Spending Accounts • 403(b) savings matches • reputed company time off • Career advancement opportunities • Resources to support employee and family reputed company-being Apply tot his job Apply To this Job