Cdi Specialist Ii

Summary

Join Honest Health as a CDI Specialist II and support physician offices in our concurrent and retrospective programs. You will ensure accurate coding and documentation, serve as a subject matter expert in ICD-10-CM, and educate internal and external providers. Analyze data to identify trends and educational opportunities. Collaborate with physicians and other healthcare professionals to ensure accurate clinical information. Provide coding support, education, and training. Audit clinical documentation and coded data. Support prospective and retrospective programs. This role requires a collaborative professional driven by making a meaningful impact in healthcare.

Requirements

• High school diploma, GED, Associate’s degree or suitable equivalent
• 4+ years medical coding, risk adjustment, and provider engagement and education experience
• CRC, required
• CPC, CCS, CCS-P, RHIT, or RHIA, required
• Auditing experience, required
• A thorough understanding of anatomy, pathophysiology, and medical terminology necessary to correctly code using CPT, ICD-10, and HCPCS Level II coding systems
• Demonstrate understanding of current Quality Measure Initiatives including Value Based Care
• Demonstrate knowledge of pathophysiology, disease management, and coding guidelines
• Working knowledge of HIPAA Privacy and Security Rules
• Demonstrated proficiency in computer skills, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, Microsoft Teams
• Excellent communication skills, both verbal and written
• Strong people skills and ability to build supportive relationships with providers
• Outstanding organizational skills and an ability to operate efficiently and independently
• CMS HCC Risk Adjustment experience, required
• High attention to detail required

Responsibilities

• Work collaboratively with physicians, Advanced Practice Practitioners, other healthcare professionals, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality are captured for the level of service rendered to all patients
• Provide coding support, education, and training related to quality of documentation and diagnosis coding while adhering to ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic, and CMS Medicare Part C instructions and guidance
• Audits clinical documentation and coded data to ensure appropriate support of diagnoses, procedures, treatment, services rendered for reimbursement, and reporting purposes
• Support prospective programs through documentation review, ensuring our provider partners have actionable data at the point-of-care
• Support retrospective projects aligned with MAC and RADV requirements and compliance
• Perform other related responsibilities as assigned

Preferred Qualifications

• CDEO or CCDS-O, preferred
• CPMA, preferred
• AAPC Approved Instructor, preferred

Benefits

• Competitive base pay with bonuses
• Paid time off starting at 4 weeks for full time employees
• 12 paid holidays per year
• Reimbursement for continuing medical education
• 401k with match
• Health, dental, and vision insurance
• Family friendly policies that support paid parental leave and flexible work arrangements
• Robust commitment to training and development that starts with onboarding and continues throughout your career with Honest