Clinical Documentation Integrity Specialist

Job Description

Job Description

The Clinical Documentation Integrity Specialist (CDIS) plays a vital role in ensuring the precision and completeness of clinical documentation and coding to optimize patient data accuracy. This position involves performing both retrospective and prospective chart reviews. The CDIS will conduct provider education and training related to complete and accurate diagnostic documentation and coding, in accordance with ICD-10 CM coding guidelines, internal protocols and CMS and payer guidelines. The CDIS will deliver tailored education at the individual provider-level; complete end-to-end workflow assessment and optimization; and perform chart reviews to identify specific opportunities for improved accuracy. There will be opportunity to travel periodically to practices as well as engage in remote work.  The CDIS must be detail-oriented, service-minded, possess strong verbal and written communication skills, and be fluent in (or willing and able to master) Google Suite tools.

Primary Duties :

• Perform chart reviews to identify opportunities for better accuracy in clinical documentation and coding.  Evaluate and optimize end-to-end practice clinical documentation, billing and coding workflows. Develop and implement action plans to improve the completeness and accuracy of clinical documentation and coding
• Work directly with Aledade practices and providers on continuous improvement of complete and accurate documentation and diagnosis coding. Facilitate clinical documentation and coding communication amongst key internal and external stakeholders. Provide guidance to field staff and practices regarding general documentation and coding best practices and risk adjustment
• Deliver internal and external-facing education and training on clinical documentation and diagnosis coding to support value-based contracts.

Minimum Qualifications :

Preferred Qualifications :

Physical Requirements :