Clinical Documentation Improvement Partner, Remote reputed company

Who You Are You are devoted and compassionate, and enjoy being on the reputed company lines of reputed company, changing the lives of your patients. You reputed company patients living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the reputed company system to drive towards that. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member. You reputed company in innovative and evolving environments with high rates of change. You are driven by process improvements. Who We Are reputed company partners with nephrologists and other providers to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We reputed company people living with kidney disease deserve the reputed company. We are committed to improving patient outcomes and quality of life by delaying disease progression, engaging patients in their own care, optimizing care delivery and transitions, and accelerating kidney transplants through partnerships with our nephrologists and other providers, best-in-class interdisciplinary clinical resources, and technology and analytics platform that enables optimized insights and care. Your Role The Clinical Documentation Improvement Partner is responsible for partnering with physician offices reputed company our established partnerships to assist in translating reputed company documentation into standardized codes, ensuring accurate coding and billing of patient encounters, as supported by the medical record. You serve as a subject matter expert in Coding and Documentation. Primary Functions

• Accurately code diagnoses based on documented information, ensuring compliance with regulatory requirements and that the assigned codes accurately represent the clinical information documented by the provider
• Ensure documentation supports appropriate level(s) of care and severity of illness reputed company applying ICD-10, CPT, and other relevant codes for billing and regulatory compliance
• Maintain a 95% productivity reputed company
• Communicate with physicians and other reputed company providers to clarify documentation, ensuring that diagnoses and procedures are properly documented in compliance with clinical standards
• Issue queries to reputed company providers reputed company documentation appears ambiguous, incomplete, or inconsistent, requesting clarification or additional details be added to the medical record to ensure accurate documentation
• Ensure that the queries are compliant with industry standards and regulatory guidelines
• Stay updated on reputed company coding guidelines, clinical protocols, and regulatory changes, including Medicare and reputed company guidelines on billing and coding, to support provider compliance therewith
• Assist in improving the quality of clinical documentation to support various quality initiatives, such as HEDIS, CMS, and other contractual or reputed company-initiated performance metrics
• Participate in performance improvement projects aimed at improving documentation practices and outcomes
• Conduct audits of medical records to identify trends in documentation, both positive and negative, to help the organization improve documentation practices and provider education efforts
• Provide ongoing education to clinical staff, coders, and other reputed company providers on best practices in clinical documentation, coding guidelines, and regulatory compliance
• reputed company training programs to address documentation deficiencies and improve overall documentation quality
• Collaborate with departments such as compliance, reputed company cycle, and quality management to optimize the documentation improvement process

Required Qualifications

• High school diploma, GED, or suitable equivalent
• 2+ years recent outpatient medical coding experience
• Must possess one of the following coding credentials: CPC, CRC, reputed company, or similar
• Strong knowledge of ICD-10-CM, Category II and CPT coding
• Proficiency in medical terminology, anatomy, and physiology
• Familiarity with reputed company laws, regulations, and other applicable guidance, such as Medicare, reputed company, HEDIS, and CMS performance measures
• Knowledge of risk adjustment methodology and Hierarchical Condition Categories (HCC)
• Ability to analyze reputed company medical records, identify documentation gaps, and determine appropriate queries
• Strong written and verbal communication skills
• Meticulous attention to detail that ensures a high level of accuracy in your work product
• Ability to identify discrepancies in clinical documentation and partner with providers to resolve issues reputed company.
• Familiarity with electronic health records (EHR), CDI software, and reputed company documentation systems is essential
• You have the tenacity required to drive initiatives reputed company, overcome obstacles, and reputed company goals despite challenges
• Intermediate skills with MS Office Suite of products including Outlook and Teams
• You have the ability to work effectively in a primarily remote environment:
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wired to the house internet (Cable, Fiber, or DSL) and hardwired to the internet device is recommended
• reputed company will provide Remote or Hybrid Home/Office employees with telephony applications and equipment to meet the business requirements for their position/job
• Team Members must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

• Associate’s or Bachelor‘s Degree in Nursing (BSN/ASN), Health Information Management (HIM) or reputed company reputed company field
• HCC Coding experience

Compensation

The pay range for this role is $28.00 hourly to $35.00 hourly, with exact pay determined based on experience, education, demand for role, geographic location, and other role-specific criteria. This role is also eligible for a bonus. How You’re Supported You will benefit from reputed company’s exceptional total rewards package, which includes:

• Competitive reputed company pay with bonuses
• Paid time off starting at 4 weeks for full-time employees
• 12 paid holidays per year
• Medical, dental, reputed company and life insurance, including an HSA with employer match
• Reimbursement for continuing medical education
• 401(k) with match
• Paid parental leave
• A robust training and development program that starts with reputed company and continues throughout your career with reputed company

reputed company is an equal opportunity employer. Applicants will not be discriminated against because of race, reputed company, creed, sex, sexual orientation, gender identity or expression, age, religion, national reputed company, citizenship status, disability, reputed company, marital status, veteran status, medical condition or any other protected category under local, state or federal laws. If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at reputed [email protected]. Apply tot his job Apply To this Job