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The CDI Specialist utilizes expertise and clinical documentation improvement practices as well as program-specific tools to ensure best practices and compliance with the mission/philosophy, standards, goals and core values of Optum Health.
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Clinical Documentation Specialist - Second Level Reviewer - Remote page is loaded. Clinical Documentation Specialist - Second Level Reviewer - Remote. Current RN or MD required; CCDS or CDIP certification required; Coding certification (CCS, CIC, or CPC) preferred.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Licenses, Registrations, or Certifications Required: RN current license or RHIA/RHIT/CCS (medical school graduates are exempt from this MQ) And Must acquire CCDS or CDIP certification within 3 years of hireJob Summary:Scope: Responsible for the overall improvement of the quality and accuracy of medical record documentation through interaction with physicians, members of the patient care team and hospital coding staff.
RemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Applies advanced knowledge of CMS star rating, Vizient, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities. The CDI Second Level Reviewer works in collaboration with CDI & quality leadership, CDI specialists, coders, quality analysts, providers, and other members of the healthcare team to ensure accurate, high-quality clinical documentation to support UHealth initiatives.
RemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient outcomes, and complexity of patient care.
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At least 1 of the following: Current certification as a Certified Professional Coder (CPC), Certified Documentation Expert Outpatient (CDEO) from AAPC, Certified Clinical Documentation Specialist-Outpatient (CCDS-O) from ACDIS.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience.
Full-timeRemoteExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Strong understanding of value-based care principles, particularly as they relate to the impact of clinical documentation and coding on risk adjustment payment models in value-based contracts. Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models.
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3) Prisma Certified Cloud Security Engineer (PCCSE) Certification from Palo Alto Networks. Primary job duties and responsibilities including testing, deployment, performance monitoring, troubleshooting, and documentation of a statewide network, utilizing industry best practices for security, disaster recovery and business continuity, change control, and client support.
Full-timeRemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.
$29 - $45.2 an hourFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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In this Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote position, you bring your 3-5+ years of acute care inpatient coding background, required CCS or CPC or CCS-P, and/or RHIT or RHIA Coding Certification, and make a difference.
RemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Architect data inventory solutions to support the Data Inventory Program, including defining inventory scope, metadata standards, and data lineage documentation. Prefer certification as a Collibra Solution Architect (or Ranger) Certification.
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Certified Professional Coder and/or Certified Risk Adjustment Coder certification awarded by American Academy of Professional Coders is required within one year of hire. This position is also responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD-9 & ICD-10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.
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Create detailed solution architecture documentation, including architecture diagrams, design specifications, and technical requirements. This role will be a key member of our team supporting the Chief Data Officer (CDO), focusing on initiatives such as Data Governance, Data Inventory Program (DIP), Data Architecture, and Ontology development.
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Strong understanding of data architecture principles, including data modeling, database design, and ontology development. Lead the design and implementation of data architecture solutions, including data modeling, schema design, and ontology development.
RemoteExpandApply NowActive JobUpdated 9 days ago
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