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Shearwater Health Advisors Inc

Clinical Documentation Improvement Specialist (CDIP/CCDS/CCS/CIC/CPC)

Early Applicant
  • 29 days ago
  • Be among the first 50 applicants

Job Description

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careers!
  • Physical Sites: Taguig, Pampanga, and Cebu

Our Clinicians & Associates advocates for better patient care while enjoying these benefits:
  • HMO on Day 1 with 2 Dependents upon regularization.
Group Life Insurance
  • Highly Competitive Salary
Complexity Allowance
Annual Salary IncreaseQuarterly Performance Bonus
  • Service Incentive Leave (SIL) with Leave Conversion
Work-Life Integration
Equipment providedAdvance Technology for Medical Coding
  • Certificate Renewal Coverage ()
Get Visa Sponsorship & Work Abroad ()

_
Terms and Conditions Apply_

The CDI Specialist is to provide concurrent and restrospective of the medical medical record, 1:1 provider education, and educate clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflect the condition(s) and treatment(s) of the patient. In addition, ensures that documentation reflects the appropriate DRG assignment or APC and HCC assignment, severity of illness, risk of mortality, and quality measures. Coordinates provider education, and adheres to industry standards pertaining to compliance.
  • Queries and educates providers to obtain greatest possible diagnostic specificity, and present on admission status, to accurately reflect the patient's condition. Adheres to industry standards pertaining to documentation and coding compliance.
Optimal use of Clinical Documentation Improvement (CDI) software: Maintains an accurate and complete record of review and query activity in the CDI software system. Utilizes tools available in CDI software to ensure completion of reviews in assigned areas
  • Queries providers and medical team members caring for the patient to clarify clinical documentation. Apply their clinical knowledge to evaluate how the medical record will translate into coded data, including reviewing provider and other clinical documentation, chronic disease processes, medications and their indications, diagnostic information, and treatment plans. Educate providers about optimal documentation and identification of disease processes to ensure proper reflection of severity of illness, complexity, and acuity, and facilitate accurate coding and billing.
Understand risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology, and share this knowledge with providers and members of the clinical team.
  • Who we look for:
Must be Bachelor's Degree Graduate in any Medical Allied courses
  • With at least one (1) year of recent medical Inpatient coding experience in BPO/CPO set-up or Clinical Documentation Improvement Specialist experience
Have at least active Certified Inpatient Coder (CIC), Certified Professional Coder (CPC) or Certified Coding Specialist License (CCS); and or
Preferably Certified Clinical Documentation Specialist (CCDS) from ACDIS or Certified Documentation Improvement Practitioner (CDIP) from AHIMA with Excellent communication, organizational, time management, and interpersonal skills
  • Must be amenable for any shift schedule
Must be amenable to work onsite (Taguig/Pampanga/Cebu)

#SWHH

Job Type: Full-time

Benefits:
  • Health insurance
Life insurance
Supplemental Pay:
  • 13th month salary
Overtime pay
  • Performance bonus


Application Question(s):
  • Do you have an active Medical Coding Certification If Yes, what type of license

License/Certification:

Medical Coding Certification (Required)

More Info

Industry:Other

Function:Healthcare

Job Type:Permanent Job

Skills Required

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Date Posted: 27/10/2024

Job ID: 98184819

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