Ambulatory Clinical Documentation Integrity Specialist
Baptist Health
Ambulatory Clinical Documentation Integrity Specialist
Baptist Health
Full-spectrum health system with hospitals
Summary
Job Description:
Baptist Health Medical Group is looking for an Ambulatory CDI Specialist to join our team! This is a remote work position that requires residency in KY or IN
The BHMG Ambulatory CDI Specialist I is responsible for the evaluation of documentation utilizing their coding and clinical expertise to ensure specificity of coding and coding accuracy. They identify HCC diagnosis codes, ensure documentation accurately reflects the medical necessity and acuity of the patients. They provide guidance/education to the providers, medical assistants, practice managers and ancillary staff on clinical documentation best practices. Position requires a self-motivated, flexible, confident presenter that is able to travel and work remotely as well as attend internal meetings.
Minimum Education, Training, and Experience Required:
2 years’ professional medical group coding experience
Experience with:
ICD-10-CM coding principles and procedures,
HCPCS, CPT, CPT II and modifier coding,
CMS HCC, HHS HCC, Rx HCC coding and risk adjustment assignment as it relates to provider documentation,
Knowledge of Microsoft Office (Outlook, PowerPoint, Excel
Preferred Experience:
HCC (CMS, HHS, Rx HCC) coding and risk adjustment assignment as it relates to provider documentation,
Proficient experience with Epic and/or other major EMR vendor software, and
Presenting education to coders, providers and/or other caregivers.
Clinical experience a plus
Certification/Licenses:
Active Certification Required
Certified Professional Coder (CPC) certification or Certified Coding Specialist-Physician based (CCS-P) or equivalent certification from AAPC, AHIMA or other acceptable professional organization.
A minimum of one additional advanced certification, required within one year of hire.
CRC = Certified Risk Adjustment Coder (certification)
Full-spectrum health system with hospitals
Baptist Health is a regional health system with nine hospitals and more than 400 care sites across Kentucky and Indiana, offering inpatient services, outpatient clinics, home health, urgent care, diagnostic and surgery centers, and therapies. It combines employed physicians in Baptist Health Medical Group with a large network of independent clinicians to deliver comprehensive care across the continuum, including hospital care, primary care, specialty practices, and wellness services. Its hospitals hold Magnet or Pathway to Excellence nursing designations, reflecting a focus on nursing quality, and the system aims to provide accessible, high-quality health care to communities through a broad, integrated network. The goal is to improve community health by delivering coordinated, patient-centered care across a wide geographic footprint.
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