Role OverviewManages the clinical documentation improvement program and its staff, working with medical staff and clinical documentation nurse specialists to provide education and documentation that best represents the patient's clinical findings and treatment plan.
What You Will Do
Conducts coding audits, manages data quality reviews, resolves DRG/APG/ASC coding changes with third-party payers, and provides structured education programs to physicians and Erlanger staff.
Why It Might Be a Fit
Requires expertise in standard practices in coding/reimbursement, exceptional judgment, and organizational ability, with excellent communication skills, both written and oral.
Requirements
- RHIA or RHIT or RN with BSN and/or Clinical Coding Specialist (CCS)
- Must have a strong clinical documentation improvement program background, including development, implementation, and ongoing management
- Experience in health information management (minimum of five years)
- Familiarity with reimbursement principles
- Computer literacy, experienced in use of Microsoft Office and BHIS/SMS/3M systems
- Expertise in standard practices in coding/reimbursement
- Ability to optimize payment for all financial schemes
- Clinical Documentation and/or Inpatient coding experience with report writing expertise
- Comprehensive knowledge and proficiency in ICD9-CM, ICD-10 CM/PCS, CPT, and HCPCS coding
- Knowledge of the medical record documentation requirements for ICD-9CM and ICD-10 CM/PCS principles
- Advanced proficiency in use of Microsoft Office Suite of products, including MS Word, Excel, and PowerPoint
- Adobe to document and manage audit data
- Exceptional judgment and organizational ability
- Excellent communication skills, both written and oral
- Teaching experience
Benefits
- Dental insurance
- Vision insurance
- Dental insurance
- Vision insurance
- Paid holidays
- Vacation time
- Sick leave
- Health insurance
- Retirement plan
- Life insurance
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