The Clinical Documentation Specialist coordinates and maintains the elements and
requirements of the Clinical Documentation Improvement Program, including staff
and physician education, to ensure the highest quality of documentation in
support of compliance and accurate representation of the care provided to the
patient
Essential Job Functions
Coordinates and maintains all elements of the Clinical Documentation
Improvement Program in order to meet the goals and objectives of the
organization and its stakeholders.
Meet CDI program objectives, goals, and balance scorecard metrics.
Ensures timely, accurate, and complete documentation of clinical information
used for measuring and reporting physician and hospital outcomes.
Ensure effective communications with key stakeholders.
Analyzes data, creates reports to meet desired outcomes.
Identifies trends and opportunities for improvement in clinical
documentation.
Meets program quality and productivity guidelines and standards.
Collaborates with coding professionals to fully support the needs of clinical
code assignment, communicates proficiently with coding professionals to
resolve identified discrepancies.
Work effectively with CDI team members to accomplish departmental goals.
Demonstrates continued advancement in professional growth.
Perform duties in compliance with Company’s policies and procedures,
including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes:
Ability to prioritize and multi-task in a multifaceted environment.
Demonstrate strong organizational skills and be detail oriented.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate mentoring and interpersonal skills.
Demonstrate excellent presentation, verbal, and written communication skills.
Ability to develop and maintain relationships with key business partners by
building personal credibility and trust.
Maintains courteous and professional working relationships with employees at
all levels of the organization.
Demonstrate successful leadership skills with the use of critical thinking,
problem solving, and deductive reasoning required.
Specialized training in advanced computer skills with proficiency in
Microsoft Word, Excel, Power Point, and Outlook e-mail required
Additional training in Access database management, Medicare Part A and B
programs, DRG assignment, and knowledge of MCC/CC preferred
Work Environment
This job operates in a remote home office environment. This role routinely uses
standard office equipment such as computers and phones.
Physical Demands
The physical demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required
to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or
controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch
or crawl; and talk or hear. The employee must occasionally lift or move up to 25
pounds. Specific vision abilities required by the job include close vision,
distance vision, peripheral vision, depth perception and the ability to adjust
focus.
Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are generally Monday
through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long
hours and weekend work.
Travel
Minimal travel required; up to 5%
Required Education and Experience
Experience: Bachelor’s degree in healthcare field (e.g., nursing, health
information management) OR equivalent combination of education/experience
combined required. (One year of education equals one year of experience).
Minimum Experience: Minimum of one to three years’ experience in clinical
quality, utilization management, case management, nursing, coding, or a
related field.
Preferred Experience: Three to five years’ experience in a Clinical
Documentation Improvement Program with previous experience in clinical
quality, utilization management, case management, nursing, coding, or related
field (e.g., physician) of which a minimum of three years’ experience is in a
management or supervisory role.
Education: Bachelor’s degree, with a healthcare related credential
Additional Eligibility Qualifications
None required
Security Access Requirements
In addition to the specific security access required by the employee’s client
engagement, the employee will have access to the Omega systems set forth in
"Standard Field Employee” profile.
Microsoft Office: E1 Level Access
ADP: Standard Employee Level Access
Oracle: Standard Level Access
Equal Employment Opportunity:
Omega Healthcare is an Equal Employment Opportunity employer. All qualified
applicants will receive consideration for employment without regard to their
race, color, religion, national origin, gender, age, sexual orientation, gender
identity or expression, marital status, mental or physical disability, protected
veteran status, and genetic information, or any other basis protected by
applicable law. Omega Healthcare also prohibits harassment of applicants or
employees based on any of these protected categories.
Omega Healthcare makes reasonable accommodations when needed for applicants and
candidates with disabilities or religious observances. If reasonable
accommodation is needed to participate in the job application, interview, or any
other part of the hiring process, please contact Human Resources
at employeerelationsus@omegahms.com [employeerelationsus@omegahms.com]
Other Duties
Please note this job description is not designed to cover or contain a
comprehensive listing of activities, duties or responsibilities that are
required of the employee for this job. Duties, responsibilities, and activities
may change at any time with or without notice. Employee may perform other duties
as assigned.
QUALIFICATIONS
1. CDI with 3+ years experience working as a CDI at level 1 trauma academic
health system
2. Audit experience and review of quality initiatives (PSI, Mortality)
3. Worked on multiple projects in a CDI role.
4. Reconciliation experience.
5. Epic and 3M 360 Experience
6. Experience working for a Maryland organization preferred.
7. Ok with a 2 month project
8. able to work fulltime during business hours (EST) 8 hours a M-F
9. Able to pick up new workflows and technology easily
10. Able to ramp up productivity in 4 weeks
11. Maintain 95% accuracy
12. Good written and verbal communication
13. must have CCDS or CDIP certification
Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare)
empowers healthcare to thrive via intelligent solutions that optimize revenue
cycle operations, administrative workflows, care coordination, and clinical
research on a global scale. The company works with providers, payers, life
science companies, medical device manufacturers, health technology firms,
researchers, and industry partners to amplify teams with robust technology,
specialty expertise, and operational support. Omega Healthcare serves more than
350 healthcare organizations with 35,000 skilled workers in the United States,
India, Colombia, and the Philippines. For more information,
visit www.omegahms.com [http://www.omegahms.com/]
We offer a comprehensive benefits package that may include health, dental, and
vision coverage, voluntary insurance options, a 401(k) plan with employer match,
professional development opportunities, paid time off, and holiday pay. Eligible
employees may also have the opportunity to participate in bonus programs,
commissions, or other variable incentive plans. Benefits and incentive
eligibility may vary based on position, location, and tenure.
AAP/EEO Statement
Omega Healthcare is an Equal Employment Opportunity employer. All qualified
applicants will receive consideration for employment without regard to their
race, color, religion, national origin, gender, age, sexual orientation, gender
identity or expression, marital status, mental or physical disability, protected
veteran status, and genetic information, or any other basis protected by
applicable law. Omega Healthcare also prohibits harassment of applicants or
employees based on any of these protected categories.
Omega Healthcare makes reasonable accommodations when needed for applicants and
candidates with disabilities or religious observances. If reasonable
accommodation is needed to participate in the job application, interview, or any
other part of the hiring process, please contact Human Resources
at employeerelationsus@omegahms.com [employeerelationsus@omegahms.com].