What are the responsibilities and job description for the Clinical Documentation Specialist (CDS) position at E.N.T. Specialty Partners?
Job Details
Description
JOB DESCRIPTION OVERVIEW
JOB ROLE AND PURPOSE
The CDS specializes in ENT, Allergy, Audiology and related specialties services and is responsible for ensuring the accuracy, integrity, and compliance of health information related to ENT, Allergy, Audiology and related specialties services. This role involves auditing medical records, reviewing ICD 10 and CPT coding for accuracy, and documentation practices to support quality patient care and regulatory compliance.
ABOUT ENT SPECIALTY PARTNERS
Our organization, ENT Specialty Partners (ESP), provides unparalleled strategic, financial, and operational support to our partnering clinical groups of otolaryngologists, collaborating closely with physicians, physical therapists, local practice managers and our appreciated staff members to achieve superior outcomes in today's medical landscape. Join our dynamic team where we prioritize people, foster innovation, and pursue excellence.
ESSENTIAL DUTIES AND RESPONSIBILITIES
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Conduct regular audits of ENT medical records to ensure accuracy and completeness.
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Review and validate coding for ENT procedures and diagnoses, ensuring compliance with ICD-10, CPT, and other relevant coding standards.
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Identify discrepancies and provide feedback to healthcare providers to improve documentation practices.
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Identifies opportunities to support achievement of 100% compliance in clinical documentation.
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Collaborate with ENT specialists and other healthcare professionals to ensure accurate and timely documentation.
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Prepare detailed audit reports and present findings to the Director of Compliance and other stakeholders.
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Stay updated with changes in coding standards, regulations, and best practices related to ENT services.
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Assist in training and educating staff in proper documentation and coding practices.
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Participate in quality improvement initiatives and contribute to the development of policies and procedures.
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Assist at the Practice level and Revenue Cycle Management team to support the appeal process of denied claims.
KNOWLEDGE, SKILLS AND ABILITIES
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Strong attention to detail.
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Expertise in auditing.
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Strong analytical and problem-solving skills.
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Excellent written and verbal communication abilities.
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Ability to work independently as well as collaboratively in a multidisciplinary setting.
WORK ENVIRONMENT
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Full-time position with standard office hours.
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Occasional travel may be required for training and professional development.
Qualifications
JOB QUALIFICATIONS
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Associate Degree in Health Information Management, Health Informatics, or a related field. Or Associate Degree in Nursing.
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Certified Clinical Documentation Specialist (CCDC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Certified Medical Record Auditor (CRMA) certification preferred.
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Minimum of 3 years of experience in HIM auditing, reviewing clinical documentation with a focus on ENT, Allergy, Audiology and related specialties services.
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Strong knowledge of ICD-10, CPT, and other relevant coding standards.
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Excellent attention to detail and analytical skills.
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Strong communication and interpersonal skills.
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Ability to work independently and as part of a team.
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Proficiency in health information systems and electronic health records (EHR).
BEHAVIORAL COMPETENCIES
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Attention to detail and accuracy.
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Excellent organizational skills.
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Good leadership, interpersonal, and communication skills.
EMPLOYEE BENEFITS
We strive to be an employer of choice with competitive compensation, employee benefits, strong leadership, meaningful careers, developing and dynamic career opportunities, with an engaging, exciting company culture.
ESP provides comprehensive benefits packages to its employees, including, but not limited to, multiple choice plans for medical, dental, vision insurance, STD/LTD disability, life, accident, indemnity, legal services, EAP, retirement plans, paid time off (PTO), paid holidays, and much more.
