NC, USA
1 day ago
Provider Coding Documentation Specialist
Job Summary The Physician Documentation Specialist (PDS) core functions include assessing, planning and implementing individual, specific coding documentation education to clinicians. Must have the ability to independently interpret complex trending reports to identify educational opportunities and develop and implement the appropriate education based on reviewing trending reports to include medical necessity denials, coding charge review changes and CPT distribution compared to CMS benchmarks. Measurement of the education effectiveness through reporting benchmarking and analysis is essential. The Physician Documentation Specialist will be expected to manage the data request, interpretation and planning of the education delivery method to maximize revenue capture and will be expected to modify education and workplan if desired impact is not achieved. Education will be performed via face-to-face encounters in small and large group settings as well as electronically. The physician documentation specialist (PDS) utilizes extensive knowledge of coding guidelines (ICD-10-CM, CPT and HCPCS Level II) and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record (EMR) to maximize revenue opportunities and support accurate and compliant billing. Works collaboratively with all clinicians to ensure documentation is accurate, complete and compliant with coding guidelines and requirements accomplished through the review of the complete patient EMR for coding and documentation specificity. Clinicians include physicians, APPs and clinical staff. The physician documentation specialist must be able to analyze reports and large volumes of data to identify areas to measure improvement and to report out trends to leadership. This is not a remote position. Come join a remarkable team where quality care meets quality service, in every dimension, every time. #JoinTeamAubergine #NovantHealth Let Novant Health be the destination for your professional growth. At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities. Responsibilities It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time. + Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has a commitment to leveraging diversity and inclusion in support of quality care. + All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm". Qualifications + Education: High School Diploma or GED, required. 2 Year / associate’s degree, preferred. 4 Year / bachelor’s degree, preferred. + Experience: 5 years Coding experience in an ambulatory environment, required. 3 years documentation auditing/review experience in an ambulatory environment, required. + Licensure/Certification: + CPC (Certified Professional Coder), required. + CRC (Certified Risk Adjustment Coder), required. + CDEO (Certified Documentation Expert Outpatient), required. + Additional Skills (required): + · Ability to successfully complete generic and department-specific skills validation and competence testing. · Completion of Risk Adjustment Coding Certification (CRC) and Certified Clinical Documentation Specialist-Outpatient (CCDS-O) within 1 year of hire. · Strong interpersonal communication skills (verbal, non-verbal and listening): experience in developing and presenting educational material, ability to effectively speak before large and small audiences and ability to write effectively. · Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding principles and guidelines as well as knowledge of reimbursement systems. · Extensive knowledge of federal, state and payer specific regulations and policies pertaining to documentation along with the ability to effectively research payer policies is vital. · Strong data analysis skills are essential when mining for provider trends and opportunities. · Competent computer skills including analytical skills and navigation of word processing, spreadsheets and presentation software (working knowledge of Microsoft Office products). · Work in a continually changing work environment, needs to be self-motivated, self-directed and able to work independently with minimal supervision. Work in a collaborative team environment, well organized and detail oriented. + · Ability to travel between campus buildings, clinics and remote facilities is essential. + Additional Skills (preferred): + · Familiarity with EMR, specifically Epic. · Proficiency in Microsoft Office Tools (Outlook, Word, Excel, PowerPoint, Visio and SharePoint to support creation of provider feedback and educational materials. · Strong written and verbal communication skills along with effective interpersonal skills are required to develop and maintain strategic relationships with providers and NHMG leadership. Job Opening ID 56711
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