Clinical Documentation Specialist I - Finance Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will work receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. The Clinical Documentation Specialist will support providers by providing concurrent and retrospective review of the medical record and education to ensure the documentation of all clinical conditions and procedures accurately reflect the condition and treatment of the patient. Our department goal is focused on risk adjustment, coding, and provider education. **This is a Remote opportunity for candidates who reside in the states of OH, FL and NV.** **A caregiver in this position works 8:00am-5:00pm.** A caregiver who excels in this role will: + Conduct reviews of medical records for patients in a variety of outpatient settings including but not limited to provider offices, physician and hospital‐owned clinics, ambulatory surgery centers, and hospital emergency departments. + Query providers and medical team members caring for the patient to clarify clinical documentation. + Apply clinical knowledge to evaluate how the medical record will translate into coded data, including reviewing provider and other clinical documentation, chronic disease processes, medications and their indications, diagnostic information, and treatment plans. + Educate providers about optimal documentation and identification of disease processes to ensure proper reflection of severity of illness, complexity, and acuity, and facilitate accurate coding and billing. + Understand risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology and share this knowledge with providers and members of the clinical team. + Maintain an accurate and complete record of review and query activity within the CDI software system, utilize tools available in CDI software system to ensure completion of reviews and become proficient in the use of innovative technology as it is deployed. + Meet daily review, query, and query response targets. + Participate in department performance improvement and employee engagement activities. + Assist co-workers and management as workload requires by providing guidance to clinical documentation improvement staff regarding efficient processes/procedures and coverage determinations. + Participate in department sponsored educational opportunities, meet hospital specific educational requirements and take responsibility for own learning through reading professional journals and attending webinars/seminars. + Meet CEU requirements to maintain license and certifications. + Encourage to advance formal education and work toward ACDIS certification. + Participate as needed in providing one-on-one education to clinical team (physicians, advanced practice providers, and ancillary staff). Minimum qualifications for the ideal future caregiver include: + High School Diploma/GED or equivalent + Five years of experience as clinical nurse, inpatient or outpatient coder or two years of experience as a Clinical Documentation Integrity Specialist Preferred qualifications for the ideal future caregiver include: + Associate's Degree in healthcare related field + Registered Nurse (RN) in the current state of employment + ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience + CPC with CRC, RHIT or RHIA strongly preferred. Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ **Physical Requirements:** + Standing, walking, sitting, lifting, carrying up to 25 pounds + Close, distant, and color vision + Manual dexterity to grasp and handle records and to operate a PC in the course of work + Ability to tolerate a moderate noise level (business office with phones, copiers, computers, and printers) **Personal Protective Equipment:** + Follow standard precautions using personal protective equipment (PPE) as required Pay Range Minimum hourly: $30.41 Maximum hourly: $46.38 The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities