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OP Clinic CDS

2019-11-17 USD 100 1000000 Contract 2019-12-17
  • Job Id:

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5810 Coral Ridge Drive, Suite 250 Coral Springs FL 33076 USA
customer support [+954-656-8600]
  • Specialty:

    Floor CDI
  • 321 Main St.


    Naples, FL 34101NaplesFL
  • Start date:

    call for details
  • Salary:

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The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation. CDI Specialist role ensures completeness of the clinical documentation used for reporting professional services through interaction with providers and clinical staff. Monitors accuracy of documentation, including analysis of diagnostic and procedure codes, in accordance with regulatory guidelines. Identifies opportunities for documentation improvement and provides ongoing education to providers and coding staff.
Ensures the accuracy and completeness of clinical documentation used for reporting professional services in the ambulatory setting.
Improves the overall quality, integrity and completeness of the ambulatory clinical documentation by performing chart audits/reviews to verify appropriate ICD10 and CPT codes are assigned, and documentation requirement are met.
Conducts meetings with the providers, clinical staff and coding staff to review documentation issues and improvement opportunities.
Facilitates modification to the ambulatory clinical documentation to ensure appropriate reimbursement is received for the level of service rendered to all patients.
Educates all members of the patient care team regarding clinical documentation opportunities, changes to clinical documentation guidelines, coding and reimbursement issues, as well as performance improvement methodologies.
Conducts follow up reviews of ambulatory clinical documentation to ensure points of clarification have been recorded in the medical record.
Uses interpersonal skills to discuss clinical documentation issues and works effectively with all levels of internal personnel such as coders, physicians, and other health professionals.
Articulates the program to physicians and other health care professionals to educate and teach ambulatory clinical documentation requirements.
Demonstrates knowledge of coding guidelines, documentation opportunities and clinical documentation requirements.

Associate's Degree in Health Information Management or related field
Certified Clinical Documentation Specialist (CCDS) or CCDS-O (outpatient), Certified Documentation Expert Outpatient (CDEO), Certified Professional Medical Auditor (CPMA) or Registered Health Information Technician (RHIT)
Maintenance of continuing education requirements
If qualified as an RHIT, must have at least 2 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing
If qualified as a CCDS, CCDS-O, CDEO or CPMA, must have at least 3 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing


· Salary Range: $85,000 to 95,000per year

· Paid Time Off

· Sick Time

· Medical, Dental, Life and Long/Short term disability Insurance.

· Paid Association Dues Paid

· Educational Benefits

MedPartners HIM and Peak Health Solutions are combining our resources and becoming AMN Healthcare Revenue Cycle Solutions.

AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer

We encourage minority and female applicants to apply.

AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry. Apply today and one of our team members will be in touch to help you find the role that best fits your skills and goals. 

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Divisional Headquarters
Two Harbour Place
302 Knights Run Avenue
Suite 1025
Tampa, FL 33602
Phone: 813.418.3800
Toll Free: 1.866.727.4461
Fax: 813.418.2256