Outpatient CDS/CoderWe're looking for an
Outpatient CDS/Coder to join our Valleywise Health CDI team.
This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform
production coding.
You'll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvement while still coding and staying connected to the work you know.
Strong outpatient coding experience is the foundation. We'll help you grow the CDI side.Hourly Pay Rate: $34.15 - $50.37QualificationsEducation:- Requires an associate degree in Health Information Technology (HIT) or equivalent combination of training and experience in place of HIT degree.
Experience:- Requires three (3) years of experience coding in a primary care provider's office or facility-based provider clinic for internal medicine/family practice.
- Must know coding Medicare Annual Wellness Visits and HCC reporting guidelines.
- Prefers to have experience with HCC Coding.
- Prefers to have value-based reporting.
Specialized Training:- Requires the ability to pass a coding exam before hire.
- Requires experience with Electronic Health Record, Encoder, and Microsoft Office software.
- Prefers to have experience with EPIC and 3M Encoder Software Systems.
Certification/Licensure:- Must possess a CCS, CCS-P, COC, or CPC certification.
- Must possess a valid driver's license.
- Prefer Certified Risk Adjustment Coder (CRC) and Certified Clinical Documentation Specialist-Outpatient (CCDS-O).
Knowledge, Skills, and Abilities:- Must have in-depth knowledge and a clear understanding of coding principles to validate and apply missing, incomplete, or incorrect diagnosis ICD-10-CM & CPT codes.
- Must be able to demonstrate the difference between a problem-oriented visit, a preventative visit, and the Annual Wellness Visit criteria.
- Must clearly understand Hierarchical Condition Categories (HCC) and Risk Adjustment Factors (RAF).
- Must be able to demonstrate advanced knowledge of medical terminology, anatomy, and physiology.
- Must be able to communicate and have excellent customer service skills with physicians and ambulatory clinic staff about documentation and coding.
- Must be able to achieve and maintain appropriate CDS productivity standards established in the CDI Department Policy and Procedure.
- Must be able to abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and AAPC.
- Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records, and encoder systems.
- Knowledge of HIPAA recognizes a commitment to all medical charts' privacy, security, and confidentiality.
- Must have initiative and the analytical ability necessary to interpret data contained in records and to assign appropriate codes.
- Must be able to utilize problem-solving skills while assessing work queue or coding-related issues.
- Must prioritize and multitask workload and assignments to meet department objectives and goals.
- It requires the ability to work well independently, demonstrate independent decision-making, and work with others as a team.
- 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 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.
- Must have computer proficiency, including MS Windows, MS Office, and the internet.
