Clinical Documentation Specialist Outpatient

• Utilizes clinical and/or coding expertise, clinical documentation integrity practices and facility specific tools for best practice and compliance with the mission and vision of revenue cycle.

• Provides daily evaluation of documentation by the Medical Staff and healthcare team including lab results, diagnostic information and treatment plans to assure appropriate documentation supports reported diagnoses.

• Reviews and makes recommendations for improvement to the overall quality, integrity and completeness of clinical documentation by utilizing knowledge of ICD-10 and CMS guidelines, compliance, policies and procedures.

• Partners with the CDI Outpatient team members to guide, support and sponsor the CDI Program

• Communicates with ambulatory providers and healthcare team members to clarify documentation necessary for complete and accurate coding for proper reimbursement via electronic query practices.

• Educates healthcare team about clinical documentation and coding guidelines via presentations, departmental meetings and documentation tips.

• Licensed Clinical CDS performs medical record reviews to ensure complete documentation and accurate code capture based on Provider performance.

• Certified Coding CDS performs medical record reviews and assigns final diagnosis codes prior to payer submission.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.