Sr Specialist Clinical Documentation Integrity
Envision HealthcareThe Senior Clinical Documentation Integrity Specialist (CDI) is responsible for reviewing documentation, providing education to and for our clinicians and other stakeholders, and developing processes in support of ongoing documentation improvement and enhancements.
Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.
Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.
Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
Responsibilities
- Analyzes key performance indicators
- Reviews medical records for development and potential delivery of customized clinician training initiatives based upon evaluation of performance indicators
- Collaborates with multiple stakeholders (clinical leadership, revenue cycle, quality team) to create a unified approach for documentation improvement
- Conducts documentation reviews for sites with documentation opportunities and/or new locations until coding and documentation are stabilized
- Develops tailored, site-specific provider training as needed dictated by chart review findings
- Routinely engages with clinicians and other stakeholders on accurate documentation practices for concurrent and continuous documentation improvement.
- Performs ongoing outreach education for clinicians on coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic, and web-based applications.
- Participates in monthly clinician group sessions at local or regional level
- Presents performance status during Practice Operational Review (POR) meetings
- Coordinates and schedules conference calls and site reviews / preparation of materials for meetings
- Supports ad-hoc request for site documentation training
- Documents, monitors, and tracks all clinician outreach and training activities
- Disseminates information regarding changes or updates in coding and documentation policies and payor rule changes to clinicians and other stakeholders
- Communicates coding-related findings weekly via a SharePoint file to coding partners
- Leads bi-weekly calls with coding to review second-level review disagreements
- Tracks and monitors coding and CDI education opportunities and develops tools to improve accuracy
- Trains new CDI Specialists on internal processes
- Maintains coding-driven statistics to share with the Revenue Cycle leaders
Qualifications
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
- Willingness to travel up to < 25% of time.
- Strong analytic skills (clinical, operational, process, systems)
- Excellent interpersonal skills, both telephonic and in person
- Experience in clinician coding and reviewing documentation guidelines.
- Demonstrated ability to work independently
- Flexibility to change with rapidly evolving health care system
- Familiarity with various electronic health record (EHR) systems.
- Demonstrated ability to communicate effectively with clinicians, nursing staff, and hospital administration
Education/Experience
- Bachelor’s degree or combination of education and/or equivalent work-related experience required
- Minimum of 6 years’ experience in clinical documentation management or coding
- Proven track record of engaging clinicians in documentation improvement Certificates and Licenses (if applicable)
- CPC or equivalent specialty certification / eligibility preferred
- Clinical experience preferred (RN, LPN, PA, NPP)
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.
Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.
Envision Healthcare is an Equal Opportunity Employer.