Clinical Documentation Specialist position at Logic House LTD in Rockville

Logic House LTD is looking of Clinical Documentation Specialist on Tue, 18 Jun 2013 13:14:21 GMT. Description Working Job Title: Clinical Documentation Improvement Specialist Purpose and Description: Responsible for working collaboratively with Senior Managers and MAPMG in the development and implementation of HIMS and Coding activities and programs that ensure high quality, effective documentation and coding requirements that meets HIMS Medicare targets and goals. To facilitate the accurate...

Clinical Documentation Specialist

Location: Rockville, Maryland

Description: Logic House LTD is looking of Clinical Documentation Specialist right now, this position will be settled in Maryland. Detailed specification about this position opportunity kindly see the descriptions. Description Working Job Title: Clinical Documentation Improvement Specialist Purpose and Description: Responsible for working collaboratively with Senior Managers and MAPMG in ! the development and implementation of HIMS and Coding activities and programs that ensure high quality, effective documentation and coding requirements that meets HIMS Medicare targets and goals. To facilitate the accurate representation of the severity of illness by improving the quality of the clinical documentation and ensure constant compliance readiness state for HIMS and Coding department by assessing potential vulnerabilities through systematic and appropriate gap analyses, interventions and corrective actions. Essential Functions: ***These are the things that the candidate will be doing on a daily, weekly and monthly basis.*** • Designing and building Data Warehouse and Data Marts. • Implements quality review processes to ensure appropriate clinical documentation is captured to support diagnosis and to ensure the level of service rendered to all patients is accurately reflected in the record.

• Reviews encounters against data mining reports to en! sure all identified clinical indicators for focused HCCs (hier! archical chronic conditions) are documented or clarified as outlined in department procedures related to the query process. • Monitors and screens cases for quality concerns or issues related to quality improvement processes. • Identifies and collects appropriate data; incorporates quality improvement tools and methodology in all assignments. • Provides staff support for coding improvement activities on a regional or a departmental level.
• Works closely and collaboratively with the HIMS management leadership and Quality department on accreditation and licensing requirements to ensure all documentation is compliant with local, state, federal and accreditation requirements. • Acts as a liaison and facilitator for quality reports related to database tracking, quality trends and analysis, and specific focused studies, as assigned. • Develops and maintains quality management systems, standards and criteria for reporting aggregate data and focused review finding! s and results in collaboration with the HIMS Management Leadership, medical group, and other designated departments. • Demonstrates familiarity with practitioner peer review methods to facilitate the process of unbiased case review with strict adherence to confidentiality and protection of sensitive information and findings.
• Advances the quality and service improvement priorities of the region by using a variety of quality strategies, tools and techniques. • Performs other duties as directed. Required Experience: ***These are the MUST HAVE items. If a candidate does not have these then they will be rejected.*** • Six years of clinical experience (i.e.

inpatient, ambulatory, clinical documentation, discharge planning, case management) working with Managed Care/HMO or equivalent health care experience required. • Professional Clinical License, such as: Register Nurse, Social Worker, Pharmacist. ***CONCENTRATE ON NURSING, if at all possible*** • T! hree years experience in quality review or other related areas of pract! ice required. • Demonstrated ability to conduct and interpret quantitative and qualitative analysis required.

• Experience in quality improvement activities with ability to work as a consultant, facilitator, and colleague with other Quality Management staff, physicians and KP staff at all levels of the organization required. • Strong computer skills and use of databases required. Preferred Experience: * ***These are things that we would like to see, but are NOT required to fill the position. These are NOT disqualifying items.*** • Master’s degree in a healthcare related field preferred.
• Understand coding classification systems such as, but not limited to ICD-9-CM, Current Procedural Terminology (CPT), healthcare common Procedural Coding (HCPCS), HCC, strongly preferred. • Registered Health information Technician (RHIT),or Certified Coding specialist (CCS) or Certified Professional Coder (CPC) preferred • Excellent written and verbal comm! unication skills preferred. • Knowledge and/or experience with NCQA, AAAHC, state and federal regulations required. • Knowledge of Medicare requirements required.

Required Education: • BSN or Bachelor’s Degree in a healthcare related field required Skills to be successful in this role: • Excellent written and verbal communication skills preferred. • Excellent interpersonal skills preferred. • Self motivation preferred. • Ability to work independently with minimal supervision preferred.

Interview Steps and Information: • Phone and then F2F…both with Manager and 1 to 2 team members. • We will be going over the candidates background and covering their experience in the Healthcare Industry as it relates to their daily tasks. Standard Work Hours: • Flexible â€" normally you will be working normal business hours of 8:00 AM to 5:00 PM. Some adjustment may be needed as scheduling conflicts arise.

You will also be! on-call one weekend a month. Manager: • Pammy Wang Minimum Educa! tional Requirements High School Diploma or GED, unless higher degree is required * No See Job Description Below
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If you were eligible to this position, please deliver us your resume, with salary requirements and a resume to Logic House LTD.

Interested on this position, just click on the Apply button, you will be redirected to the official website

This position will be opened on: Tue, 18 Jun 2013 13:14:21 GMT

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