Clinical Documentation Auditor

Full Time
Remote
Posted
Job description

Company: Oak Street Health

Title: Clinical Documentation Auditor

Company Description

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street’s care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients’ health, spending more than twice as long with its patients and taking on the risks and costs of their care. For more information, visit http://www.oakstreethealth.com.

Role Description

The Clinical Documentation Auditor is a vital member of the Population Health Clinical Documentation coding team at Oak Street Health. They champion the organization's mission to provide high quality patient care by providing measurable, actionable feedback to providers that will result in improved documentation accuracy and coding practice. The role will collaborate with providers, coders, payers, and a variety of internal and external personnel on a wide scope of Clinical Documentation Coding education efforts.

Responsibilities

  • Comprehensively review outpatient provider notes for accuracy and completeness.
  • Synthesize coding correction opportunities for ongoing provider education.
  • Achieve 90%+ audit results on coding correction accuracy and less than 30% on missed coding correction opportunities.
  • Review on average a minimum of 15 provider notes per day.
  • Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes.
  • Identify trends and training opportunities to support clinical documentation accuracy improvement.
  • Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes.
  • Other duties as assigned.

What we’re looking for

  • Minimum of 3 years of experience in Medicare risk adjustment coding
  • Minimum of 3 years of experience in assigning/auditing ICD-10 CM codes to outpatient records
  • Ability to succeed in a face-paced, ever-changing environment
  • Self-starter with high degree of drive, initiative, and follow through
  • Expert in accurate and specific documentation
  • Strong communication skills
  • A flexible and positive attitude
  • Strong computer skills and basic knowledge of Microsoft Excel
  • Ability to work independently with minimum supervision, excellent reliability, and a positive attitude
  • CRC (“Certified Risk Coder”) credential is required
  • RN or LPN certification required
  • US work authorization
  • Someone who embodies being “Oaky”

What does being “Oaky” look like?

  • Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results
  • Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

  • Collaborative and energetic culture
  • Fast-paced and innovative environment
  • Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Supplemental pay types:

  • Bonus pay

Experience:

  • clinical documentation: 3 years (Required)
  • risk adjustment: 1 year (Preferred)

License/Certification:

  • Certified Professional Coder (Preferred)
  • CRC (Preferred)

Work Location: Remote

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