Outpatient CDI Analyst
Company: Yale New Haven Health
Location: New Haven
Posted on: February 22, 2021
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Job Description:
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We're ready to chat! Can you provide us some info? Posted Date 1
month ago (3/10/2020 2:52 PM) Requisition ID 17150 Job Locations
US-CT-New Haven Category HIM/MED RECORDS Position Type Full Time
Benefits Eligible Department HIM Coding Scheduled Hours 40 Overview
To be part of our organization, every employee should understand
and share in the YNHHS Vision, support our Mission, and live our
Values. These values - integrity, patient-centered, respect,
accountability, and compassion - must guide what we do, as
individuals and professionals, every day.
The OP Clinical Documentation Improvement Specialist (OP-CDIS),
working under the direction of the OP Coding Supervisor, utilizes
compliant documentation improvement principles and coding expertise
to identify areas of opportunity that impacts the quality and the
completeness of the medical record documentation. Through current,
prospective, and retrospective evaluation of the medical record
documentation the OP-CDIS will be responsible for working
collaboratively with the clinical team members to clarify
documentation via clinically compliant physician queries, support
medical necessity, and provide education with the end goal of
achieving improved documentation results and reduction of
unnecessary denials for the organization. The overall outcome will
be documentation that accurately and completely captures the
clinical picture/severity of illness/patient complexity while
providing specific and complete information to be used in coding
and reporting of outcomes for the facility and the physicians. The
OP-CDIS utilizes knowledge of coding guidelines, coding/billing
compliant practices, payer policies, Hierarchical Condition
Categories (HCCs), policy manuals/coverage determinations, denial
data, and clinical knowledge to identify opportunities that are
compliant and appropriate to achieve maximum results. This
individual also supports other team members, shares knowledge and
role models the professional standards of behavior.
EEO/AA/Disability/Veteran Responsibilities
Epic HB billing knowledge preferred. LICENSURE Certified coder
through AHIMA or AAPC (CCS, CCS-P, CPC, or COC) or LPN/RN with
clinical experience and required to obtain coding certification
within 6 months from hire. CDOE certification after 2 years of
experience. CRC certification a plus. SPECIAL SKILLS Very strong
communication skills, written and oral, for communication with
Medical Staff and other healthcare professionals are a must.
Ability to perform well in a fast-paced team environment and to
manage time effectively. In-depth knowledge of medical terminology,
anatomy, physiology, and disease process. Comprehensive
understanding of ICD-10-CM classification systems. Expertise in
governmental payment policies and regulations including medical
necessity, NCCI, OCE, and MUE policies and procedures. Must be able
to train, educate, present and share knowledge and information.
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Keywords: Yale New Haven Health, New Haven , Outpatient CDI Analyst, Professions , New Haven, Connecticut
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