Clinical Documentation Specialist

Company: Holy Cross Hospital
Location: Fort Lauderdale
Posted on: January 13, 2021

Job Description:

Position Purpose:Employment Type: Full time Shift:Description: Holy Cross Hospital in Fort Lauderdale, Florida is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy and a member of Trinity Health.Assists ACO/CIN and physician practice leadership with identifying documentation for incomplete or inconsistent documentation in the record which impacts HCC or other risk score coding.Provides training to health care professionals in ICD-10-CM, CPT, and HCPCS Coding Guidelines, modifier guidelines, documentation guidelines, medical terminology and disease processes.Conducts pre and post proper coding and documentation review for accuracy.Reviews charges assigned by providers for accuracy and completeness prior to charge being submitted.Provides spreadsheets of missing documentation and identifies opportunities for improvement to the ACO/CIN Executive Director and Primary Care leadership.Assists ACO/CIN and physician practice leadership with quality reviews to validate coding and to ensure compliance with CMS Coding Guidelines and Trinity Standards for Outpatient Physician Services.Provides training to ACO/CIN physicians and practice leadership on NCQA, Commercial, Medicare Advantage and Medicare Shared Savings Program Quality Metrics.Participates in Trinity work groups, training, and other efforts and forums to address appropriate coding and documentation for ACO/CIN beneficiariesWorks closely with Hospital Compliance DepartmentMinimum Education:Required:Certified Coder with Hierarchical Condition Category (HCC) experienceMinimum of 5 years experience with Health Care Plan, Healthcare System, Management Services Organization (MSO) or Managed Care Organizations (MCO)RHIA, RHIT, CPC or CCS/CCS-P with completion of an associate's or bachelor's degreeTrinity Health's Commitment to Diversity and InclusionTrinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Keywords: Holy Cross Hospital, Fort Lauderdale , Clinical Documentation Specialist, Other , Fort Lauderdale, Florida