Full-Time

Physician Clinical Documentation Integrity Analyst

Great Plains Health

Great Plains Health

Independent regional health system

No salary listed

North Platte, NE, USA

In Person

Associate's

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Obtain Certified Coding Specialist–Physician Based certification from the American Health Information Management Association within 12 months of hire.
  • Obtain Certified Professional Coder certification from the American Academy of Professional Coders within 12 months of hire.
Responsibilities
  • 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 levels of service.
  • Serve as the primary liaison between clinical providers and the Great Plains Health Coding Team to enhance documentation accuracy, ensuring proper support for billing levels and coding requirements.
  • Assist 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 by creating a consistent curriculum for new-provider onboarding and ongoing educational support.
Desired Qualifications
  • An associate degree in health information management or a similar field is strongly preferred.
  • A clinical background as an LPN, registered nurse, case manager, clinical documentation integrity specialist, or outpatient coder with more than three years of experience is strongly desired.

Great Plains Health is a community-owned regional health system based in North Platte, Nebraska. It provides hospital, emergency, primary, specialty, surgical, cancer, cardiovascular, rehabilitation, and diagnostic services. Patients across west-central Nebraska and surrounding rural communities use its hospital, clinics, and outreach locations. Clinical care is supported by nursing, laboratories, imaging, pharmacy, air transport, technology, facilities, and administration. Its workforce includes physicians, nurses, allied-health professionals, technicians, patient services, and shared-system teams.

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