Clinical Documentation Specialist

Omega Healthcare Management Services is hiring a Clinical Documentation Specialist to coordinate and maintain its Clinical Documentation Improvement Program. The role supports accurate clinical documentation through education, data analysis, quality improvement, and collaboration with coding professionals and other stakeholders.

Responsibilities

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 toHIPAA and compliance

Preferred

Additional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferred

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

Experience working for a Maryland organization preferred

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.

Access database management

Medicare Part

B

DRG assignment

MCC/CC knowledge

Physician experience

Maryland organization experience

Benefits

This job operates in a remote home office environment.

Health, dental, and vision coverage may be included in the comprehensive benefits package.

Voluntary insurance options may be included in the comprehensive benefits package.

A 401(k) plan with employer match may be included in the comprehensive benefits package.

Professional development opportunities may be included in the comprehensive benefits package.

Paid time off may be included in the comprehensive benefits package.

Holiday pay may be included in the comprehensive benefits package.

Eligible employees may 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.

Company

AI-driven healthcare revenue operations and clinical workflow solutions

Boca Raton, Florida, US

http://www.omegahms.com/

Founded in 2003

10001+ employees

Qualifications

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

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

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

Education: Bachelor's degree, with a healthcare related credential

CDI with 3+ years experience working as a CDI at level 1 trauma academic health system

Audit experience and review of quality initiatives (PSI, Mortality)

Worked on multiple projects in a CDI role

Reconciliation experience

Epic and 3M 360 Experience

Able to pick up new workflows and technology easily

Able to ramp up productivity in 4 weeks

Maintain 95% accuracy

Good written and verbal communication

must have CCDS or CDIP certification

Must have CCDS or CDIP certification

Additional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferred

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

Experience working for a Maryland organization preferred

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.

Required skills

Clinical Documentation Improvement (CDI), CDI Auditing, Quality Initiatives PSI, Quality Initiatives Mortality, Reconciliation, Epic, CCDS Certification, CDIP Certification, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook

Preferred skills

Experience working for a Maryland organization preferred

Experience

2+ years