Clinical Documentation Improvement Specialist/Educator

Devoted Health, Cleveland, OH

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Duration: Full-Time

A bit about us:

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.

That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.

We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.

The role of Clinical Documentation Improvement Specialist/Educator is a key part of Devoted’s Quality & Risk Adjustment strategy. This position helps to ensure the accuracy of diagnostic information and coding (ICD-10 CM) by performing audits and medical chart reviews. The Clinical Documentation Improvement Auditor will perform these duties in accordance with ICD-10 CM coding guidelines, internal coding protocols and CMS guidance. This role will assist with provider education, guidance and trainings related to diagnostic documentation and coding. This role requires some domestic travel to meet with and educate providers and support staff in office locations.

Responsibilities will include:

Perform Medical Record audits based on organizational priorities. These can include both concurrent Clinical Documentation Improvement (CDI) work flows aswell as retrospective auditing. Coding reviews and/or Audits may lead to the addition, deletion, adjustment or confirmation of diagnoses.
Review of audit results with CDI Manager. Assist in creating and communicatingprovider and vendor education regarding trends and areas of opportunity regarding compliant coding practices.
Assist CDI Manager by making recommendations for process improvements to further enhance coding quality goals and outcomes.
Handle other related duties as required or assigned, including provider educationand training and working with vendor partners.
Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance.

Desired Skills and Experience:

BA/BS in Nursing preferred but not required
3+ years as an outpatient CDI or 5+ years in risk adjustment coding/auditing
CPC or CRC certification through AAPC or CDI or CCS certification through AHIMA
Prior CPT coding a plus

Competencies and Attributes:

Strong analytical and problem solving skills.
Strong oral and written communication skills
Strong organization and time management skills
Ability to work independently
Ability to multi-task

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

About Devoted Health

Devoted Health is a new health care company serving seniors. Aiming to launch Medicare Advantage plans in 2019, our mission is to build a health care solution good enough for Mom. We will be devoted to the health and wellness of our members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.