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Clinical Documentation Analyst (remote)

Dartmouth Health • Remote • Posted 14 days ago

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Remote • Full-time • Mid Level

Job Highlights

Using AI ⚡ to summarize the original job post

The Clinical Documentation Analyst at Dartmouth Health is responsible for coordinating and conducting audits for the documentation of coding in assigned clinical sections, monitoring provider documentation and coding across all settings, and providing feedback on documentation review results. This role involves researching coding and documentation practices, developing education plans, and recommending changes to coding or documentation practices. The position requires strong organizational and analytical skills, effective communication, and certification in coding.

Responsibilities

  • Coordinates and conducts audits for documentation of coding in assigned clinical sections.
  • Coordinates coding feedback of documentation review results in on-going written communication for providers.
  • Monitors provider documentation and coding in all professional and hospital outpatient settings.
  • Responds to questions regarding coding and documentation practices. Conducts process evaluation and researches topics and develops education plan.
  • Researches issues related to coding and documentation practices. Develops communication and distribution strategies.
  • Evaluates and recommends possible changes to coding or documentation practices.
  • Assimilates information; identifies key issues, and presents pertinent information to the team.
  • Identifies coding trends through data analysis and assists in the evaluation of coding data with team.
  • Coordinates response to compliance concerns through management.
  • Participates in the development of new coding policy.
  • Maintains membership in professional organizations, attends conferences and workshops and relationships with payors. Ensures that current information is secured, maintained and distributed to providers.
  • Applies mandated coding guidelines to documentation, including E/M code assignment, auditing and education.
  • Performs other duties as required or assigned.

Qualifications

Required

  • High school graduate with 4 years of coding experience required.
  • Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Coder Specialist-Physician Based (CCS-P) certification required.
  • Previous experience in abstracting for coding in professional and hospital outpatient areas like E&M, ED and OR preferred.
  • Strong organizational and analytical skills with the ability to effectively communicate, both orally and in writing with all levels of staff.

About Dartmouth Health

Dartmouth Health is a premier healthcare system operating in New Hampshire and Vermont, offering exceptional medical expertise and innovative healthcare practices. The company is committed to advancing health, fostering inclusivity, and providing compassionate care to its patients. With a strong emphasis on diversity and inclusion, Dartmouth Health strives to create a welcoming environment while actively engaging in shaping the future of healthcare through its various healthcare facilities.

Full Job Description

Overview

At the direction of the Manager, assume responsibility for coding audit activities for provider groups assigned to the team.

Responsibilities

* Coordinates and conducts audits for documentation of coding in assigned clinical sections.

* Coordinates coding feedback of documentation review results in on-going written communication for providers.

* Monitors provider documentation and coding in all professional and hospital outpatient settings.

* Responds to questions regarding coding and documentation practices. Conducts process evaluation and researches topics and develops education plan.

* Researches issues related to coding and documentation practices. Develops communication and distribution strategies.

* Evaluates and recommends possible changes to coding or documentation practices.

* Assimilates information; identifies key issues, and presents pertinent information to the team.

* Identifies coding trends through data analysis and assists in the evaluation of coding data with team.

* Coordinates response to compliance concerns through management.

* Participates in the development of new coding policy.

* Maintains membership in professional organizations, attends conferences and workshops and relationships with payors. Ensures that current information is secured, maintained and distributed to providers.

* Applies mandated coding guidelines to documentation, including E/M code assignment, auditing and education.

* Performs other duties as required or assigned.

Qualifications

* High school graduate with 4 years of coding experience required.

* Previous experience in abstracting for coding in professional and hospital outpatient areas like E&M, ED and OR preferred.

* Strong organizational and analytical skills with the ability to effectively communicate, both orally and in writing with all levels of staff.

Required Licensure/Certifications

- Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Coder Specialist-Physician Based (CCS-P) certification required.

* Remote:Fully Remote;

* Area of Interest:Professional/Management;

* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week;

* Shift:Day;

* Job ID:25759;

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.