Clinical Documentation Improvement Specialist II

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

CORE VALUES

Agility:

• Strong organizational skills with the ability to multi-task in a fast paced environment.
• Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.
• Knowledge and understanding of medical coding and billing systems and regulatory requirements.
• Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.

Respect:

• Relationship building skills - develop partnerships to drive results
• Must demonstrate professional manner and appearance with all communications.

Collaboration:

• Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members, including physicians and executive level employees.
• Team Oriented with strong Influence and negotiation skills.

Courage:

• Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.
• Must be able to work under moderate to high stress and pressure while maintaining a professional attitude.
• Strong analytical skills and the ability to work independently to analyze and solve problems.
• Adept at learning proprietary software applications.

JOB DESCRIPTION:

Responsibilities:

Primary Functions:

• Perform ongoing outreach education for new and existing clinicians on Hospital Medicine coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic and web-based applications.
• To counsel clinicians identified as outliers via face-to-face interaction, phone, web-based, and/or email, on a minimum of a monthly basis or as coordinated by Director of Documentation Assurance
• Educate and give feedback to all new clinicians on documentation performance within the first month of service.
• To advise and educate internal Operations teams on documentation/coding by phone, webinar, in person or by participating in Monthly Facility Team Meeting group sessions.
• Monthly Facility Report Card analysis and trending to identify documentation and RVU outliers at the facility or clinician level.
  • Action Plan development and outreach prioritization.
  • Individual clinician and/or facility documentation feedback and education.
  • Medical Director and Operations Leadership report distribution and support.
  • Outlier clinician /facility escalation using established policies and processes.
• Participate in standing clinician meetings to highlight documentation, coding, and quality initiatives
• Educate and counsel clinicians on how to resolve external and internal chart queries
• Bi-weekly Clinician Onboarding WebEx presentations.
• Documentation of all outreach activity in SalesForce application.
• Participate in clinician Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.
• Participate in company-wide initiatives related to clinical documentation as identified by Clinical Leadership.
• Travel to territories as required to provide in person documentation education, oversight, feedback, and training
• Collaborate with Data and Performance Analytics Team on clinician feedback
• Performs miscellaneous job-related duties as assigned.

Secondary Functions:

• To function as a training resource during EMR upgrades via onsite or web-based
• To advise Coders on EMR function and documentation scenarios
• To provide information and feedback in meetings with internal Operations teams
• To conduct Bi-monthly reviews and analysis for the following:
  • Acuity and RVU decreases
  • Clinical Data Feeds
  • EMR Transitions
  • New Facility Starts
  • Unbillable Visits
• To collect NP/PA, Resident, and Scribe Attestation Examples as needed for new facilities and EMR transitions
• To present onsite or web-based MIPS/MACRA documentation training to clinicians as needed 

• To provide support on any ad hoc departmental projects

Knowledge, Skills, and Abilities:

• Knowledge as it relates to, but not limited to, Electronic Health Record, health information systems and healthcare applications and their effects on Coding practices today and in the future
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, and APC coding guidelines
• Extensive knowledge of hospital and professional coding including ProFee Services beneficial
• Knowledge of medical terminology, classifications systems, and vocabularies
• Knowledge of privacy and security regulations, confidentiality, laws, access, and release of information practices.
• Excellent oral, written, and interpersonal communication skills for working with all different levels of professionals, including physicians, external and other internal partners
• Strong analytical skills, data presentation, technical capabilities, and metric management

• Must be able to execute on analysis and recommend outcomes based on interpretation of data
• Team Oriented with strong Influence and negotiation skills
• Relationship building skills - develop partnerships to drive results
• Problem solving skills, good critical thinking, and decision-making skills
• Strong organizational skills with the ability to multi-task in a fast-paced environment
• Ability to prioritize and adhere to strict deadlines
• Ability to work independently and multitask in a fast-paced Global environment
• Ability to troubleshoot issues independently
• Adeptness at learning proprietary software applications
• Must be able to conduct themselves in a professional manner via phone, e-mail, business letters and fax
• Must be able to work under moderate to high stress and pressure while maintaining a professional attitude

Pay Range:

This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.

Visit our website for further information. https://myscpbenefits.com/

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