Job Description:

The goal of the Clinical Documentation Specialist-Consultant is to educate leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall clinical picture and the representation of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices.

Essential Functions

Assesses needs and develops, evaluates, and implements education plans, interventions, and training.

Acts as an education leader, consultant, and mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment.

Reviews medical records documentation for reimbursement, severity of illness and risk of mortality.

Identifies opportunities for improving the quality of medical record documentation and confers with the caregiver regarding additional documentation required.

Collects statistics from the reviews and maintains accurate records to document costs and benefits.

Facilitates and enhances the coding and diagnosis-related group between physician and coding staff.

Skills

Medical Billing and Coding

Health Insurance

Regulatory/Coding/Billing Compliance

Relationship Management

Microsoft suite

Electronic Medical Record (EMR)

ICD/Risk Coding

Clinical Knowledge

Outpatient Coding

Healthcare Common Procedure System (HCPCS)

This position will require up to 5 days of travel within the state of Colorado per month.

Minimum Qualifications

Bachelor's degree in a clinical field (e.g. RN, RRT, PT, OT, SLP, LCSW). Education must be obtained through an accredited institution. Degree will be verified.

Clinical license in state of practice (e.g. RN, RRT, PT, OT, SLP, LCSW).

Depending upon your clinical licensure, equivalent experience may substitute the degree requirement.

National Professional Coding Certification from AHIMA or AAPC

Certified Risk Adjustment Coder (CRC) certification from AAPC

Five years Risk adjustment coding experience

Preferred Qualifications

Advanced level of experience with Microsoft Office applications.

Advanced understanding of medical terminology, medical acronyms, anatomy and physiology

Demonstrated ability to learn new concepts and applications and be able to effectively teach them to others

Demonstrated ability to establish and maintain rapport with co-workers, physicians and other healthcare professionals

Experience leading a government-mandated Risk Adjustment audit

Cross trained on all Risk Adjustment models

Physical Requirements:

Physical Requirements

Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.

Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.

Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.

Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Broomfield Clinic

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$37.46 - $57.80

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers , and for our Colorado, Montana, and Kansas based caregivers ; and our commitment to diversity, equity, and inclusion .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.