Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Outpatient Clinical Documentation Improvement Specialist

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

8:00am to 5:00pm

Location: Hybrid/ Remote (must be local to the Dallas/Fort Worth area)

Job Description:

Duties/Responsibilities

• Supports priorities assigned by HIM Leadership; acts as a resource to staff.

• Provide clinical documentation integrity education and training to physicians, physician groups, and Advanced Practice Providers.

• Complete chart reviews on physicians and physician groups, providing education and feedback based on the results of the reviews.

• Engage in and drive provider documentation best practices, including education on themes for opportunity and accuracy improvement.

• Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.

• Identifies and escalates coding issues and in recommending coding workflow solutions to resolve issues and improve operations.

• Work closely with coding team to ensure proper coding practices align with clinical documentation for accurate reimbursement.

• Cultivates and maintains professional relationships within the department and organization.

• Assists in developing clinical documentation policies, and processes as it relates to documentation of diagnoses and procedures for accurate assignment of DRG/APR-DRG, that have an impact on severity of illness (SOI) levels.

• Stays abreast of coding changes to proactively prevent errors/financial penalties from occurring and works closely with leadership in development of educational content material to ensure is consistency for providers and coding staff

• Promotes clarification of clinical documentation by use of query tools as needed, communicating with clinicians regarding missing, unclear, or conflicting medical record documentation

• Performs audits as needed for special projects and/or new organizational procedures and specialties, summarizes findings, reports to management, and assists in development of presentations to educate staff and clinicians

• Responsible for improving the overall integrity of medical record documentation in the outpatient, professional setting through appropriate interaction and ongoing education with physicians, fellows, residents, allied health staff and working closely with Internal Coding Auditor and HIM coding staff

• Collaborates with appropriate Empower Analysts to assist with development of processes, functioning Workqueues (WQ), useful system workflows that ensure limited errors and help increase productivity of staff

• Performs all other duties as assigned

  Required Skills/Abilities

• Preferred RN with a Texas Medical License or Associate’s or Bachelor’s degree in HIM or related field preferred

• Minimum of Four (4) years of coding/CDI experience with ICD-10, CPT and Pro-Fee Coding in a Orthopedic Multi-Provider Practice

• Demonstrates ability to communicate effectively, displays interpersonal skills in working with others in a capacity with demonstrated leadership and strong management abilities

• Ability to converse, educate, present, and work effectively with all providers and clinical staff

• Knowledge of current coding practices and guidelines, rules, regulations, and coding ethics

• Completes required continuing education to maintain credentials and license

• RHIA, or RHIT, or CCS, or CCDS, required

• CDIS/CDIP preferred

• Work requires strong management and leadership skills

• Work requires strong analytical, critical thinking and organizational skills with a high level of accuracy and attention to detail skills

• Work requires excellent customer service, interpersonal, and communication skills (verbal and written)

• Work requires ability to report, and problem solve using discretion, judgment, and professionalism

• Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment, while meeting tight deadlines and prioritizing given tasks

At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and is an equal opportunity employer.

For questions, contact careers@tsrh.org.