Phoenix, AZ
10 days ago
Outpatient Clinical Document Specialist III
Under the direction of the Clinical Documentation Improvement (CDI) Supervisor, while utilizing a hybrid work environment, this Outpatient Clinical Documentation Specialist (CDS) position uses the clinical/nursing knowledge and understanding of ICD-10 coding guidelines and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record using a multidisciplinary team process. Works collaboratively with ambulatory physicians and advanced practice providers to ensure that the clinical information within the medical record is accurate, complete, and compliant. This includes accurate documentation to support the capture of Hierarchical Condition Categories (HCC), ICD-10-CM specificity, and medical necessity of ambulatory visits. Educates patient care team members formally and informally regarding documentation guidelines, coding requirements, and service-specific requirements.   Annual Salary Range: $76,835.20 - $113,339.20   Qualifications Education: Requires an Associate degree in Nursing.  A Bachelor’s degree in nursing is preferred. Experience: Requires eight (8) years of direct acute care nursing experience. Requires one (1) year of Inpatient or Outpatient Clinical Documentation specialist experience. Requires one (1) year of leadership-type responsibilities/duties experience.  Specialized Training: Requires experience with Electronic Health Records, Encoder, and Microsoft Office software. Prefers to have experience with EPIC and 3M encoder software systems. Certification/Licensure: Must possess current licensure to practice as a Registered Nurse in the State of Arizona or compact state licensure. Must possess a valid driver’s license. Must obtain a Certified Risk Adjustment Coder Certification (CRC) within eighteen (18) months of hire. Must obtain certified Clinical Documentation Specialist-Outpatient (CCDS-O) within thirty (30) months of hire.  Knowledge, Skills, and Abilities: Must have knowledge and a clear understanding of ICD-10-CM coding.  Must possess a clear understanding of Hierarchical Condition Categories (HCC). Must abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and AAPC. Must understand computer applications, Microsoft Office (Excel, Word, PowerPoint, and Outlook), Electronic Health Records, and encoder systems.  Must have the analytical ability necessary to interpret data contained in records and to assign appropriate codes.  Assist in compiling monthly productivity metrics and identifying individual and team educational needs. Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified. Must utilize problem-solving skills while assessing work queue issues or coding-related issues. Must be able to prioritize and multitask workload and assignments to meet department objectives and goals. Experience in developing and presenting education programs. Must have strong interpersonal communication (verbal, non-verbal, and listening) skills.  Requires the ability to work well independently, demonstrate independent decision-making abilities, and work well with others as a team. Require the ability to accept and incorporate critical comments/feedback. Well-organized and detail-oriented. Requires the ability to read, write and speak effectively in English. Requires the ability to work both remotely and on-site in the ambulatory clinics. Must have a valid driver’s license and be able to travel to ambulatory clinics, as needed to perform provider education and shadow clinic workflows.
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