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Clinical Condition Documentation Specialist

Trinity Health
    • Autofill and Review
    28 days ago

    Job Description

    Employment Type:

    Full time

    Shift:

    Day Shift

    Description:

    Trinity Health IHA Medical Group is looking for a detail-oriented and collaborative Ambulatory CDI Specialist to join our Revenue Operations team. In this role, you will partner with providers, coders, and clinical teams to enhance documentation accuracy, support risk adjustment coding initiatives, and provide education that helps improve patient outcomes and organizational success in value-based care programs.

     

    What You'll Do:

    • Review HCC pre-visit documentation and provide coding and documentation recommendations to providers.
    • Analyze patient records to identify potential chronic conditions and documentation opportunities.
    • Ensure diagnosis codes are accurate, complete, and compliant with current risk adjustment coding guidelines.
    • Develop educational materials and provide ongoing training to providers on documentation and coding best practices.
    • Serve as a resource for complex coding questions and provide mentorship to new team members.
    • Support Clinical Condition Documentation program initiatives, performance monitoring, reporting, and strategic goals related to alternative payment models (APMs).
    • Lead and coordinate multiple documentation improvement projects while collaborating with internal and external stakeholders.
    • Identify and escalate documentation and coding trends, issues, and opportunities for process improvement.

    General Requirements:

    • EDUCATION: Associate’s degree in business or health care preferred, or an equivalent combination of education and experience.
    • CREDENTIALS/LICENSURE: One of the following certifications required: AAPC (CRC), AAPC (CPC), RHIT.  Secondary specialty certification(s) preferred.
    • MINIMUM EXPERIENCE: 2-4 years’ experience in risk adjustment coding preferred.

    Why Join Trinity Health IHA Medical Group?

    • Day-one benefits for eligible team members with no waiting period.
    • Opportunities for career growth and professional development.
    • Supportive, team-oriented workplace culture.
    • Meaningful work helping patients access the care they need.
    • A mission-driven organization serving communities across Southeast Michigan.

     

    At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and providing exceptional customer service, we'd love to hear from you.

    Our Commitment

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

    Numbers & Facts

    Location
    IndustryHealthcare Services
    Company Size10,000 employees or more
    Websitehttps://jobs.trinity-health.org/search-results

    About Company

    Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, the Trinity Health system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. In fiscal year 2023, the Livonia, Michigan-based health system invested $1.5 billion in its communities in the form of charity care and other community benefit programs.

    Skills

    • Best Practicesunmatched
    • Clinical Study Publicationsunmatched
    • Customer Support/Serviceunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Healthcareunmatched
    • Medical Codingunmatched
    • Mentoringunmatched
    • Patient Careunmatched
    • Performance Analysisunmatched
    • Process Improvementunmatched
    • Registered Health Information Technician (RHIT)unmatched
    • Riskunmatched
    • Support Documentationunmatched
    • Team Playerunmatched
    • Training/Teachingunmatched
    • Training/Teaching Materialsunmatched

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