Cleveland Clinic

Compensation

Full Description

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Clinical Documentation Specialist I Location Cleveland Facility Remote Location Department Clinical Documentation-Finance Job Code 000633 Shift Days Schedule 7:00am-3:30pm Job Summary Job Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Clinical Documentation Specialist, you will provide concurrent and retrospective review of the medical record to ensure the documentation of all conditions and procedures accurately reflect treatment, DRG or APC/HCC assignment, severity of illness, risk of mortality and quality measures. You will also serve as a one-on-one educator to physicians and clinicians to assist in fulfilling this goal. Additionally, this position offers numerous professional and personal development opportunities, helping you advance the Professional Ladder within the Cleveland Clinic Enterprise. A caregiver in this role works remotely from 7:00 a.m. – 3:30 p.m. A caregiver who excels in this role will: Conduct review of medical records for patients in a variety of outpatient settings, including provider offices, physician and hospital‐owned clinics, Ambulatory Surgery Centers and Emergency Departments. Query providers and medical team members caring for the patient to clarify clinical documentation. Apply 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. Maintain an accurate and complete record of review and query activity within the CDI software system. Utilize tools available in CDI software system to ensure completion of reviews. Participates in providing education to clinical team as needed. Minimum qualifications for the ideal future caregiver include: High School Diploma/GED or equivalent Five years of experience as clinical nurse in a high acuity department OR five years of experience as an inpatient or outpatient coder OR two years of experience as a Clinical Documentation Integrity Specialist Understanding of risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment and OPPS reimbursement methodology Preferred qualifications for the ideal future caregiver include: Associate’s Degree in healthcare-related field Registered Nurse (RN) in the current state of employment ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience Experienced nurse with over five years inpatient floor experience (ICU or Cardiac) Experience in chart review or coding Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ Physical Requirements: Physical demands require standing, walking, sitting, lifting, one-third (or more) of the time. This position requires carrying or wheeling 10-25 pounds. PC/CRT skills are required one-fourth of the time. Close vision is required, typical physical demands require reading handwritten notes on busy inpatient nursing units. Requires manual dexterity to grasp and handle records and to operate a PC computer in the course of work. The work environment is at a moderate noise level (hospital/nursing unit). Ability to work under stress and meet deadlines. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities We know that fully supporting our caregivers is what creates the best outcomes for our patients. Our outstanding, comprehensive offerings are an investment in your health, well-being and future. What began in Cleveland in 1921 has grown to include locations throughout, the U.S. and even other countries. For you, that means more opportunities to learn, grow and serve patients — while finding caring, thriving communities both at work and at home. Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Headquartered in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 70,800 employees worldwide represent 140 medical specialties and subspecialties. Cleveland Clinic is a 6,500-bed health system that includes a 173-acre main campus near downtown Cleveland, 19 hospitals, more than 220 outpatient facilities, and locations in southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England.