Outpatient Clinical Documentation Integrity Analyst

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Join the team at Great Plains Health, where you can be a part of something, well, great.

Job Title:

Physician CDI Analyst

Cost Center:

Health Information Management

Job Description:

The Outpatient CDI Analyst facilitates comprehensive medical record reviews across outpatient areas to guarantee accurate, compliant, and code-supported documentation. By partnering with providers and coding professionals, this role clarifies clinical records, optimizes HCC capture, and drives quality documentation. The analyst also directs Outpatient Coding Audits, generates executive audit summaries, and leads provider education initiatives.

Minimum Qualifications

• Strongly preferred associate degree in health information management or similar field. 
• Clinical background-LPN, RN, Case Manager, Clinical Documentation Integrity, or Outpatient Coder with 3+ years of experience strongly desired.
• Credentials required within 12 months of hire: 
  • CCS-P (Certified Coding Specialist – Physician Based) – AHIMA
  • CPC (Certified Professional Coder) – AAPC

Work Environment

• Office setting with standard office desks and/or cubicles.
• Continuous use of computer, photocopy machines, and printers.
• Works with very frequent interruptions. 

Physical Demands

• Stand and/or walk occasionally.
• Sit constantly.
• Lift floor to waist height 30 pounds occasionally; waist to waist 25 pounds occasionally; waist to overhead 20 pounds occasionally. And carry 10 pounds up to 25 feet occasionally.
• Fine motor coordination within normal limits for age and gender
• Visual acuity, manual dexterity and hearing within normal limits.
• Constant computer use.
• Reach overhead frequently standing and turn reaching shoulder height while sitting frequently.

Essential Functions

•  Assist the RAC Coordinator in reviewing designated cases and provide ongoing educational outreach to clinical providers.
•  Collaborate with vendor partners to conduct physician and coding audits, ensuring timely reporting and communication of findings to the coding team and clinical providers.
•  Design instructional tools to facilitate efficient coding processes across clinical departments and for providers professional level of service. 
• Serve as the primary liaison between clinical providers and the GPH Coding Team to enhance documentation accuracy, ensuring proper support for billing levels and coding requirements.
• Assisting clinicians in structuring their clinical documentation to align with industry guidelines and billing compliance.
• Analyze denied claims to determine the cause and execute corrective measures. 
• Streamline and unify coding and documentation training across the organization, creating a consistent curriculum for new-provider onboarding and ongoing educational support.

Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.

As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.

Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.