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Clinical Document Specialist - Physician Practices * Days - 40hrs/wk
Shift: Days
General Summary:
The UMHP Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education related to clinical documentation improvement and clinical charge capture optimization for the Medical Group service line physicians, APPs and staff. The CDS will improve and optimize workflows and processes in the education, analysis, maintenance and support of charging, coding, documentation, revenue optimization, reimbursement excellence, Annual Wellness Visits (AWVs), prior authorization, modifier usage trends/development, portal messaging and CPT/ICD-10 and HCC code usage for UMHP to achieve best in class. The CDS will apply their knowledge of medical terminology and coding to develop workflows, implement education plans and communicate the principles and importance of accurate and complete documentation to support charging for outpatient professional clinical visits/services, surgeries, procedures and imaging studies. The CDS identifies gaps and opportunities for charge capture and assist with implementation of processes in the ambulatory clinical setting along with the medical and service line leadership. The CDS will understand and articulate data analysis specific to physician and APP clinical documentation, charge capture and revenue activity, provide updates on status and progress of efforts to improve revenue capture and maintain a strong collaborative relationship with the Clinically Integrated Network (CIN) and other relevant departments.
Requirements:
Essential Functions and Responsibilities:
Requisition #: req6525