Ambulatory Clin Doc Integrity Spec - CFH

Carle Health
United States, Illinois, Champaign
3310 Fields South Drive (Show on map)
Feb 19, 2025
Overview Performs ambulatory chart review to determine appropriate code assignment based on documentation in the chart to support clinical care provided, including preventives, Medicare Annual Wellness Visits, lowest and highest CPT E/M level, New Patient visits versus Consultation, and medical necessity. Assists in the provision of an efficient and effective clinical coding service within Carle by providing accurate and timely auditing and coding education to providers and coding team members to include CPT E/M coding, CPT Procedural Coding, and ICD10CM coding, as applicable. Ambulatory CDI work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all regulatory requirements for code assignment. Ambulatory CDI helps identify training needs through ongoing internal provider and staff audits and assists with remediation and reaudit post education. Ambulatory CDIs are responsible for producing coding education materials in formats such as Tips, power point or one to one sessions and group education sessions. Sends out notifications and queries to physicians in the EMR. Qualifications Certifications: Registered Health Information Technician (RHIT) or American Health Information Mangement Association Education: High School diploma or G.E.D Responsibilities In depth knowledge of ICD10CM, CPT E/M or CPT Surgical coding. Ability to communicate well with coders, providers, including physicians, nurses, and administrators. Ability to present ideas and concepts in person or through notification options in the EMR. Working knowledge of Microsoft products, such as Word and Excel. Ability to accurately track audits and determine simple statistics. Review quality and completeness of diagnostic and E/M codes with an emphasis on improving documentation Apply comprehensive knowledge of medical terminology, anatomy and physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures to ensure proper code assignment. Adhere to accepted coding practices, guidelines, and conventions and any pertinent hospital or medical staff policies and guidelines. Assist facility staff with documentation requirements to completely and accurately reflect the patient care provided. Provide regular coding reviews and feedback to Carle medical staff and HIM coding team members specific to ICD10CM, CPT E/M or CPT Surgical coding. Provide education and education materials related to coding for the coding team members and providers. Follow query and notification process and escalates, as necessary. Provide statistics around changed and deleted codes to Manager/Director on a regular cadence. Escalate results to Compliance as required by audit policy/practice. Report compliance or other concerns directly to HIM Director/Vice President HIM as needed or indicated. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. \| For more information: human.resources@carle.com. Compensation and Benefits The compensation range for this position is $25.18per hour - $42.05per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.