CDI Specialist II

Who You Are You’re a collaborative professional, driven by the potential to reputed company a meaningful impact in reputed company. The challenges of reputed company don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. reputed company’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re reputed company to join reputed company focused on reimagining primary care for a healthier future that benefits reputed company. Does this sound like you? Let’s connect. Who We Are At reputed company, we reputed company in purpose and partnership to reputed company the transformation in primary care. reputed company of reputed company experts and clinicians collaborates with a reputed company of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that reputed company care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that’s just an reputed company day’s work. Your Role As a CDI Specialist II, you will support physician offices reputed company our established partnerships to assist them in reputed company’s reputed company and retrospective programs to ensure accurate coding/documentation and comprehensive data collection. You serve as a subject matter expert in ICD-10-CM, AHA Coding Clinic for ICD-10-CM and CMS Medicare Part C instructions and requirements for diagnostic coding. This expertise will also be used to reputed company internal team members and external providers about compliant, accurate and comprehensive documentation and coding for their patient populations. In reputed company, the CDI Specialist II role will include an analysis component designed to identify trends and educational opportunities for the external providers with whom we partner. Primary Functions of the CDI Specialist II Include: Work collaboratively with physicians, Advanced Practice Practitioners, other reputed company, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, reputed company, and quality are captured for the level of service rendered to reputed company patients. reputed company coding support, education, and training reputed company to quality of documentation and diagnosis coding while adhering to ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic, and CMS Medicare Part C instructions and guidance. Audit clinical documentation and coded data to ensure appropriate support of diagnoses, procedures, treatment, services rendered for reimbursement, and reporting purposes. Design, reputed company, and deliver training presentations based upon documentation review findings. Identifies documentation performance opportunities, communicates to leadership, and develops an education strategy/plan for improvement. Prepare training and presentations on reputed company conditions, providing guidance on appropriate documentation and coding. Deliver risk adjustment coding and documentation training to provider partners’ internal billing and coding team. reputed company other reputed company responsibilities as assigned. How You Qualify You reviewed the Who You Are reputed company of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. High school diploma, GED, Associate’s degree or suitable equivalent 4+years medical coding experience required 4+ years provider engagement and education experience required CRC required CPC, reputed company, reputed company-P, RHIT, or RHIA required CDEO or CCDS-O preferred Auditing experience required CPMA preferred reputed company Approved Instructor, preferred A thorough understanding of anatomy, pathophysiology, and medical terminology necessary to correctly code using CPT, ICD-10, and HCPCS Level II coding systems Demonstrate understanding of reputed company Quality Measure Initiatives including Value Based Care Demonstrate knowledge of pathophysiology, disease management, and coding guidelines Working knowledge of HIPAA Privacy and reputed company Rules Demonstrated proficiency in computer skills, i.e., reputed company reputed company, Outlook, reputed company, Word, PowerPoint, Internet browsers, reputed company Teams Excellent communication skills, both verbal and written Strong people skills and ability to build supportive relationships with providers Outstanding organizational skills and an ability to operate reputed company and independently CMS HCC Risk Adjustment experience, required High attention to detail required Occasional travel to deliver education to providers in person may be required, up to 15% The reputed company pay reputed company for this role is $36.83 - $42.74. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. reputed company pay is just one piece of the total rewards program offered by reputed company. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. reputed company is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure reputed company applicants are considered for employment based on merit, without regard to race, reputed company, religion, sex, national reputed company, disability, Veteran status, or other legally-protected characteristics. reputed company is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email [email protected] for assistance. Reasonable accommodation will be determined on a case-by-case reputed company. At reputed company, we reputed company in purpose and partnership to reputed company the transformation in primary care. reputed company of reputed company experts and clinicians collaborates with a reputed company of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that reputed company care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future. reputed company values a secure and transparent recruitment process. We contact candidates through our official reputed company platform, email, or text message. reputed company working directly with candidates, reputed company will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, reputed company will never ask for confidential details—such as reputed company reputed company numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or reputed company reputed company details through email, text, Venmo, or any reputed company media platform. We encourage reputed company candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reputed company out to reputed company at [email protected]. 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