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The CDS obtains appropriate clinical documentation through collaborative communications from having developed positive working relationships with physicians, nursing staff, other patient care providers, and the Health Information Management Department Coders. Works closely with HIM coding staff to assure documentation of principal diagnosis and any co-existing comorbidities and complications accurately reflect the patient’s clinical status and level of services provided.

<h2>Job Description</h2>Be a part of a world-class academic healthcare system, UChicago Medicine, Advent Health as a Clinical Documentation Specialist.This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. The Clinical Document Specialist (CDS) is responsible for facilitating improvement in the overall quality and completeness of medical record documentation on a concurrent basis.  The CDS promotes modifications to medical record documentation to ensure accurate depiction of the level of clinical services provided to the patient and to completely describe patients’ severity of illness. The CDS obtains appropriate clinical documentation through collaborative communications from having developed positive working relationships with physicians, nursing staff, other patient care providers, and the Health Information Management Department Coders. The CDS is also responsible for providing informal and formal education to all members of the care team regarding clinical documentation.  Essential Job Functions<ul><li>Reviews and re-reviews inpatient medical records for identified payer populations (primarily DRG/Case Rate payment methodology ) beginning approximately 48 after admission. Analyzes the medical record regarding the clinical status of patient, current treatment plan and past medical history and seeks clarification of incomplete, unclear, and ambiguous clinical documentation</li><li>Communicates with attending physician(s) verbally and through written methodology to validate observations, and obtain clarification of incomplete, unclear, and ambiguous documentation including clarification of POA</li><li>Demonstrates and applies basic knowledge of documentation requirements and guidelines in accordance with ICD-9 CM Official Guidelines for Coding and Reporting. </li><li>Works closely with HIM coding staff to assure documentation of principal diagnosis and any co-existing comorbidities and complications accurately reflect the patient’s clinical status and level of services provided. Reviews attestation of all billed diagnoses and procedures and reports discrepancies to HIM coding staff</li><li>Consistently meets established productivity targets for record review</li><li>Develops and implements plans for both formal and informal education of physician, nursing and other clinical staff</li><li>Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation</li><li>Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of co-workers, and to report all preventable hazards and unsafe practices immediately to management</li><li>Performs other duties as requested by senior management</li></ul>Required Qualifications: <ul><li>5 -8 years progressive work experience: Case Management or Med/Surg or Critical Care Nursing experience preferred.</li><li>Basic computer skills in word processing and spreadsheet utilization</li><li>Excellent interpersonal skills necessary to develop and foster effective physician communication </li><li>Analytic skills necessary to clinically assess medical records</li><li>Excellent prioritization and organizational skills</li><li>Must be an actively licensed Registered Nurse </li><li>A Bachelor's degree in Nursing</li><li>ILLINOIS LICENSURE IS REQUIRED</li></ul>Preferred Qualifications: <ul><li>Master's degree in Nursing</li><li>CCS coding credential</li></ul>Position Details: <ul><li>Job Type/FTE: Full-Time 1.0 FTE</li><li>Shift: Days</li><li>Work Location: REMOTE</li><li>Unit/Department: Center for Transformative Care</li><li>CBA Code: Non-Union</li></ul><h2>Why Join Us</h2>We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion. UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities. UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire. Compensation & Benefits Overview UChicago Medicine is committed to transparency in compensation and benefits.  The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

The University of Chicago Medicine

Outpatient Clinical Documentation Specialist

The University of Chicago Medical Center

Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services and end-to-end solutions to help clients at critical inflection points related to conflict, crisis, performance, risk, strategy, and transformation. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.

YEAR

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most prominent US health care providers, payers, and law firms. Role Overview: Our Sr. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others. Responsibilities: + Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project. + Evaluate compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines. + Communicate effectively with internal and external stakeholders according to project requirements + Works with Project Managers to understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access regulatory guidelines and reference materials + Drafts clear and concise analyses of medical record review and coding findings + Ensures successful completion of project deliverables as assigned and within the desired timeframe + Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships + Identifies opportunities for cross practice collaboration + Proven writing and presentation skills and has a keen sense of attention to detail + Communicates findings of concern with the team and Project Manager as they are identified + Can independently deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology + Associate’s or Bachelor’s degree preferred, but not required + Strong understanding of clinical terminology, disease processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements. + Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. + Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects simultaneously, if needed. + Ability to work in a fast-paced environment while maintaining high quality + Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings + Understands the importance of attorney-client privileged and confidential communication + Willingness to travel when needed + Willingness to perform a variety of skill based tasks related to risk adjustment work + Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. For individuals assigned and/or hired to work in California, Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. The range does not include additional benefits outside of salary. At Ankura, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each role. A reasonable estimate of the current base pay range is between $85,000 to $200,000; this range is not a promise of a particular wage. #LI-Hybrid #LI-EN1 Ankura 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 based on disability. Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email accommodations@ankura.com or call toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues unrelated to a disability, will not receive a response. Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services and end-to-end solutions to help clients at critical inflection points related to conflict, crisis, performance, risk, strategy, and transformation. The Ankura team consists of more than 2000 professionals serving 3,000+ clients across 55 countries who are leaders in their respective fields and areas of expertise. Collaborative Lateral Thinking That Deliversᵀᴹ, hard-earned experience, expertise, and multidisciplinary capabilities drive results and Ankura is unrivalled in its ability to assist clients to Protect, Create, and Recover Valueᵀᴹ. For more information, please visit, ankura.com.

Ankura

Certified Risk Adjustment Coder (CRC), Senior Associate

Daiichi Sankyo Inc.

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Outpatient Clinical Documentation SpecialistThe University of Chicago Medicine

Certified Risk Adjustment Coder (CRC), Senior AssociateAnkura

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