What are the responsibilities and job description for the Profee Clinical Documentation Specialist position at Insight Global?
Overview
A hospital system sitting in NY is seeking a ProFee Clinical Documentation Specialist. This person will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity and acuity, risk profiles and professional fee billing. The CDS primarily assists providers in capturing the clinical documentation needed to accurately reflect patient acuity. The ProFee CDS will focus on pre-visit provider support, post-visit provider review, and collaboration and education with providers.
Interview Process: 1 & Done Virtual
Setting: Remote
Shift: M-F, 8-4 pm EST
Must Haves:
- 3-5 years of health care experience in a Clinical setting
- Experience with Hierarchical Condition Coding (HCC)
- Coding experience is needed - either CRC, CPC or RHIT
Responsibilities:
- Pre-visit provider support – Provide support to providers through patient record reviews in advance of patient visits, focused on the following:
- Recapture of HCCs and other potential chronic diagnoses
Post-visit provider review – Perform post-visit reviews focused on what is missing from the documentation, e.g., provider work effort that is expected and likely performed by the provider but not documented. Reviews are clinically focused and entail the following:
- Chart reviews consider patient history and established conditions
- Considers the diseases typically treated by the specialty and other chronic conditions that are addressed as part of medical decision making and the treatment plan
- Assesses E/M level and identifies opportunities to reflect patient acuity and complexity to support medical decision making
- Addresses instances where the medical record may be missing clinical documentation to support diagnoses
- “Clinical detective” mindset to look for new HCC diagnosis capture opportunities based on appropriate clinical indicators
- Validation of data-driven suspect diagnoses
Join our team as a Clinical Documentation Specialist and contribute to enhancing the quality of patient care through accurate documentation practices.
Job Type: Full-time
Pay: $75,000.00 - $85,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- HCC: 1 year (Required)
- Profee Coding: 3 years (Required)
License/Certification:
- Certified Coding Specialist (Required)
Work Location: Remote
Salary : $75,000 - $85,000
