Inova Health System is looking for a dedicated Outpatient Clinical Documentation Specialist to join the team. This role is Full-time working 8am-4:30pm Monday to Friday, REMOTE.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

Featured Benefits:

Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules.

Outpatient Clinical Documentation Specialist Job Responsibilities:

Conducts initial and follow-up concurrent reviews of medical records for assigned patients in the timeframe and frequency defined for productive work. Identifies appropriate clinical documentation to support HCC, ICD-10-CM specificity, HCPCS, CPT, Modifiers, and medical necessity of ambulatory visits. Identifies the need to clarify incomplete or conflicting documentation in medical records and prepares a compliant written query for the responsible treating physician. Option also exists to interact with responsible treating physicians via a verbal query in accordance with compliance requirements. Continues to track the occurrence of physician response documented in the medical record. Documents findings on worksheets, denoting all key information utilized in the tracking process. Enters data into Clinical Documentation Integrity System (CDIS) Outpatient when applicable. Works with the Program Manager and responsible physician administrator or physician advisor regarding treating physician compliance issues such as non-response to queries and questionable clinical validity of documented diagnoses. Routinely provides one-on-one education to new and established physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record. Interacts regularly with physicians, in the outpatient setting, providing ongoing education regarding compliant documentation. May perform additional duties as assigned

Outpatient Clinical Documentation Specialist Additional Requirements:

Work schedule: Full-time working 8am-4:30pm Monday to Friday, REMOTE. Education: High School Diploma Experience: Five (5) years healthcare physician/facility related experience in auditing. Certification: Completion of an approved coding or health information technology program with current certification(s), such as RHIA, RHIT, CCS, CCS-P or CPC, CPMA, CRC, with Clinical Documentation certification required within 2 years of hire.

 

About Inova Health System

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 24,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.