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Clinical Documentation Improvement Specialist

2 months ago

Metro Manila, Philippines Shearwater Health Full time

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careers

Physical Sites: Taguig, Pampanga, and Cebu

Our Clinicians & Associates advocates for better patient care while enjoying these benefits:

HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowanceAnnual Salary IncreaseQuarterly Performance BonusService Incentive Leave (SIL) with Leave ConversionWork-Life IntegrationEquipment providedAdvance Technology for Medical CodingCertificate Renewal Coverage (*)Get Visa Sponsorship & Work Abroad (*)

*Terms and Conditions Apply

The CDI Specialist is to provide concurrent and restrospective of the medical medical record, 1:1 provider education, and educate clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflect the condition(s) and treatment(s) of the patient. In addition, ensures that documentation reflects the appropriate DRG assignment or APC and HCC assignment, severity of illness, risk of mortality, and quality measures. Coordinates provider education, and adheres to industry standards pertaining to compliance.

Queries and educates providers to obtain greatest possible diagnostic specificity, and present on admission status, to accurately reflect the patient’s condition. Adheres to industry standards pertaining to documentation and coding compliance.Optimal use of Clinical Documentation Improvement (CDI) software: Maintains an accurate and complete record of review and query activity in the CDI software system. Utilizes tools available in CDI software to ensure completion of reviews in assigned areasQueries providers and medical team members caring for the patient to clarify clinical documentation. Apply their 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.Understand risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology, and share this knowledge with providers and members of the clinical team.

Who we look for:

Must be Bachelor's Degree Graduate in any Medical Allied coursesWith at least one (1) year of recent medical Inpatient coding experience in BPO/CPO set-up or Clinical Documentation Improvement Specialist experienceHave at least active Certified Inpatient Coder (CIC), Certified Professional Coder (CPC) or Certified Coding Specialist License (CCS); and orPreferably Certified Clinical Documentation Specialist (CCDS) from ACDIS or Certified Documentation Improvement Practitioner (CDIP) from AHIMAwith Excellent communication, organizational, time management, and interpersonal skillsMust be amenable for any shift scheduleMust be amenable to work onsite (Taguig/Pampanga/Cebu)