Job Location : Saint Joseph,MO, USA
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.
Details
* Outpatient Clinical Documentation Integrity (CDI) Specialist
* Health Information Management
* Full Time Status
* Day Shift
* Pay: $56,742.40 - $85,113.60 / year
Summary
* The Outpatient Coding and Clinical Documentation Integrity Specialist acts as an internal resource for professional services coding and documentation education. Performs medical records audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. Provides providers elbow to elbow coding and documentation support through ad hoc video calls and/or on-site visits, the creation of specialty or individual provider tip sheets, virtual and/or onsite presentations. Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. Analyzes data, communicates findings, and facilitates improvement efforts. Independently develops and maintains educational materials and training programs. Works in conjunction with the clinical practice managers, coding leadership, denial leadership teams. Meet with and educate new clinicians as they onboard with Mosaic. Review documentation practices of existing clinicians for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement. Provide widespread education on changing guidelines and other practices impacted by new legislation and/or guidelines. Attend Revenue Cycle meeting to identify educational opportunities. Work with Professional Coding, Denials and QA Analyst to identify and address educational needs for clinicians. Maintains knowledge of current and developing issues and trends in medical coding and documentation. Maintains knowledge and expertise in electronic software tools (Epic, SlicerDicer, 3M, etc.) Conduct audits of clinicians dropping charges and orders. Other duties as assigned, including special projects assigned by organizational leadership. This position is employed by Mosaic Life Care.
Duties
* Conducts reviews of clinical documentation and charges.
* Performs medical records audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures.
* Researches and develops materials for educational programs related to all aspects of coding and documentation.
* Other duties as assigned
Qualifications
* Associate's Degree- Healthcare related field is required. Bachelor's Degree- Healthcare related field is preferred.
* RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician, CCS-P, CPC is required. CPMA - Certified Professional Medical Auditor to be obtained within two years of hire is preferred. CDEO - Certified Documentation Expert Outpatient to be obtained within two years of hire is preferred. CCDS Certification - Certificated Clinical Documentation Specialist to be obtained within two years of hire is preferred. CDIP Certification - Certified Documentation Information Practitioner to be obtained within two years of hire is preferred.
* 3 Years of Physician/Professional Service coding is required.