Top 27 coding specialist Jobs in cleveland, oh

Clinical Documentation Integrity (CDI) Specialist II (Remote)
University Hospitals —Shaker Heights, OH
- $74,090 - $115,898 a year
- Remote
- Nursing
- RN License
- Writing skills
Trauma Registrar
Cleveland Clinic —Cleveland, OH
- $16.47 - $23.61 an hour
- 8 hour shift
- Remote
- Anatomy knowledge
- Mid-level
- Epic
- Dental insurance
- Vision insurance
10d
Oncology Data Specialist I
University Hospitals —Cleveland, OH
- $47,819 - $74,755 a year
- Anatomy knowledge
- Microsoft Excel
- Organizational skills
Patient Access Liaison - TEPEZZA - Cleveland, OH
Amgen —Cleveland, OH
- $158,394 - $222,256 a year
- Weekends as needed
- Doctoral degree
- Up to 50% travel
- HIPAA
- Disability insurance
- Health insurance
4d
Medical Biller / Professional Fee Coder
North Shore Gastroenterology —Westlake, OH
- $17 - $19 an hour
- Full-time
- Anatomy knowledge
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist
Life Solutions South, LLC —Cleveland, OH
- From $65,000 a year
- Full-time
- Medical office experience
- Mid-level
- Organizational skills
- Relocation assistance
- Health insurance
Quick Apply
2d
Physician Coding Specialist II Hybrid
University Hospitals —Shaker Heights, OH
- $20.11 - $31.44 an hour
- Computer literacy
- Mid-level
- High school diploma or GED
7d
Clinical Documentation Improvement Specialist
METROHEALTH MEDICAL CENTER —Cleveland, OH
- Full-time
- Nursing
- Microsoft Excel
- RN License
Medical Billing Specialist
TRI-COUNTY AMBULANCE SERVICE —Mentor, OH
- $18 - $25 an hour
- Full-time
- In person
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Revenue Data Specialist-Revenue Integrity & CDM
METROHEALTH SOUTH CAMPUS —Cleveland, OH
- Full-time
- Surgery
- Customer service
- Mid-level
RN UTILIZATION SPECIALIST - DENIALS & APPEALS
Southwest General —Middleburg Heights, OH
- Full-time
- Nursing
- RN License
- Mid-level
Certified Tumor Registrar II and III
Cleveland Clinic —Cleveland, OH
- $20.77 - $31.68 an hour
- Full-time
- In person
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Dental insurance
- Work from home
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Molina Healthcare —Cleveland, OH
- $29.05 - $67.97 an hour
- Full-time
- RN License
- Mid-level
- Pediatrics
- Health insurance
Physician Billing Specialist
Legacy Health Services —Parma, OH
- Full-time
- Mid-level
- Data entry
- Organizational skills
Quick Apply
Front Desk Receptionist
US Foot & Ankle Specialists —Cleveland, OH
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
2d
Clinical Documentation Integrity (CDI) Specialist
Addison Group —United States
- $45 - $50 an hour
- No weekends
- Remote
- Nursing
- Medicine
- Anatomy knowledge
- Health insurance
- Dental insurance
Quick Apply
9d
Medical Billing Specialist/Main Street/2334/SB
Peace River Center —United States
- Full-time
- Management
- Medical office experience
- HIPAA
4d

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Trauma Registrar
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Previous data registry experience including knowledge in case abstraction, data entry, ICD-9 or ICD-10 coding, and AIS/ISS scoring.
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Nationwide Children's Hospital —Columbus, OH
Education Requirement: *Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required.
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Clinical Documentation Integrity (CDI) Specialist II (Remote)

University Hospitals -
Shaker Heights, OH

Apply Now

Job Details

$74,090 - $115,898 a year

Qualifications

Writing skills
Copy machines
Employee relationship building
Pathology
Fax machines
Healthcare privacy protection
Clinical documentation improvement
Productivity software
Faxing
Technical Proficiency
Clinical pharmacology

Full Job Description

A Brief Overview

The Clinical Documentation Integrity Specialist is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy and completeness of provider-based clinical documentation in the medical record. This position is responsible for collaborating with healthcare providers to ensure the documentation in the medical record accurately reflects the patient complexity and resource utilization. The CDI Specialist assesses the clinical documentation through extensive review of the medical record, interacts with multiple members of the healthcare team, educates and assists the clinical areas in effective and compliant documentation. The CDI Specialist provides guidance with processes in the clinical departments to support accurate, timely and complete documentation in agreement with company policies and procedures.

What You Will Do

Ensures documentation is accurate and complete by performing timely medical record review and determination of code assignment by applying clinical and/or coding expertise to identify opportunities for improved or clarified documentation that accurately reflects the patient complexity and resource utilization. Direct and timely follow-up with clinical providers to ensure requested clarification is provided.
- Responsible and accountable for expanding CDI and coding knowledge (keeping up to date on latest research, technology, treatment modalities, etc.)
- Utilizes critical thinking/problem solving processes
- Appropriately utilizes and interprets professional association resource materials and regulatory agencies guidelines to enhance own skill sets: Coding Clinics, AHIMA, CMS guidelines
- Identifies query opportunities for record integrity
- Is proficient in query writing so that the question is easily understood by the physician
- Query writing is AHIMA compliant per practice briefs
- Escalates non-response to query by physicians immediately according to query escalation policy
- Collaborates with the coding team
- Demonstrates proficiency in reviewing increasingly complex cases.
- Demonstrates proficiency and efficiency in cross covering for other units, specialties and hospitals as assigned.
Actively engages in educating physicians and other clinical care providers regarding clinical documentation in a variety of formats including participation in clinical rounding, service line focused education sessions and one to one case specific feedback.
- Consistently provides a collaborative relationship with healthcare team providers/members
- Participates in service line rounding/touch-point routinely.
- Provides ongoing service line directed education to provider teams
Applies knowledge of health care workflows in order to work collaboratively with medical staff and other health care team members to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes.
- Seeks and provides feedback for improved CDI practice and integrity/quality of medical record documentation.
- Identifies opportunity utilizing resources and follows department guidelines for processes
- Comprehends the impact of accurate clinical documentation in the medical record: accurate billing, public reporting, research data, quality metrics, provider scorecards, etc.
Meets established operational and productivity standards.
- Consistently meets productivity, quality, and ethical standards.
- Proficient and efficient use of the CDI business platform
- Serves as a mentor to other Clinical Documentation Specialists, participates in committees

Additional Responsibilities

Amendment for Inpatient Clinical Documentation Specialist • Performs review of facility inpatient encounters to ensure hospital case-mix index and severity profiles are accurate by performing timely medical record review, determination of working DRG assignment and applying clinical expertise to identify opportunities for improved or clarified documentation that accurately reflects the severity of illness and risk of mortality of the patient. Direct and timely follow-up with clinical providers to ensure requested clarification is provided. • Demonstrates proficiency in establishing and reconciling DRG processes compliant with departmental guidelines and CMS regulations. • Demonstrates proficiency in reviewing increasingly complex (SOI and ROM) cases. • Participates in service line rounding/touch-point routinely, based on facility needs. • Identifies HAC/PSI query opportunity utilizing resources and follows department guidelines for HAC/PSI query processes • Comprehends the impact of accurate clinical documentation in the medical record beyond establishing a working DRG: accurate billing, public reporting, research data, quality metrics, provider scorecards, accuracy of the UHDDS, Case Mix Index (CMI). • Demonstrates skills of high efficiency and accuracy to identify and reduce DRG downgrades/denial risks by assuring that clinical support is beyond dispute for DRG integrity, coding and billing needs
Amendment for Outpatient Clinical Documentation Specialist • Performs review of facility outpatient encounters identified as potentially missing charges and conducts additional research to help resolve the areas of opportunity and identify the root cause of the issues causing the missed charges. • Coordinates with clinical departments including Coding, CDM, Finance and others to review, correct claims and identify root cause of missing charges. • Performs analysis of patient clinical and billing data to identify documentation, coding and charging opportunities, summarizes data and prepares summary materials for discussion with clinical and finance teams. • Develops and maintains project plans and project tracking, including documentation of project meetings and project issues lists. • Work with finance to track revenue indicators and corresponding action plans. • Auditing and monitoring of defined areas.
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education

Associate's Degree in health related field (Required) or
Other Accredited Program: Diploma in RN (Required)
Bachelor's Degree in health related field (Preferred)

Work Experience

2+ years in CDI Specialist role (Required)
3+ years clinical and/or ICD-10 coding experience, preferably in a large academic medical center (Required)
Experience using clinical computer systems (Required)

Knowledge, Skills, & Abilities

Must have thorough, up-to-date clinical skills (i.e. current working knowledge of pathology, pharmacology, surgical procedures, etc.). (Required proficiency)
Excellent written and verbal communication skills including presentations. (Required proficiency)
Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
Detail-oriented, and relationship building skills. (Required proficiency)
Demonstrates and has extensive knowledge of disease pathophysiology (Required proficiency)
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e., printers, copy machine, FAX machine, etc.). (Required proficiency)

Licenses and Certifications

Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) or
Registered Health Information Administration (RHIA) (Required) or
Registered Health Information Technologist (RHIT) (Required) and
Certified Clinical Documentation Specialist (CCDS) (Required) or
Clinical Documentation Improvement Practitioner (CDIP) (Required)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely up to 20 lbs
Carrying Rarely up to 20 lbs
Pushing Rarely up to 20 lbs
Pulling Rarely up to 20 lbs
Climbing Rarely up to 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

Apply Now

Refine Your Search

coding specialist jobs in cleveland, oh

Clinical Documentation Integrity (CDI) Specialist II (Remote)

Trauma Registrar

Oncology Data Specialist I

Patient Access Liaison - TEPEZZA - Cleveland, OH

Medical Biller / Professional Fee Coder

Medical Billing Specialist

Physician Coding Specialist II Hybrid

Clinical Documentation Improvement Specialist

Medical Billing Specialist

Revenue Data Specialist-Revenue Integrity & CDM

RN UTILIZATION SPECIALIST - DENIALS & APPEALS

Certified Tumor Registrar II and III

Medical Review Nurse -UM/Post Appeals (Michigan RN license req)

Physician Billing Specialist

Front Desk Receptionist

Clinical Documentation Integrity (CDI) Specialist

Medical Billing Specialist/Main Street/2334/SB

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