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