What are the responsibilities and job description for the CDI Specialist position at Cano Health?
Overview
At Cano Health, our culture is a “family of families”, growing stronger together to improve the lives of our patients, communities, and our associates. A culture that succeeds because of the hearts and minds of our people. Our values and guiding principles transform our lives with purpose and passion, becoming one focused source of hopeful change. A leadership culture that cultivates and empowers our people to gain ownership for their contributions and success. The Cano Movement is proof of what everyday people with a passion for health care can accomplish together.
Join the Cano Movement! The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose. At Cano you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.
Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.
The Clinical Documentation Improvement (CDI) Specialist collaborates extensively with physicians, nursing staff and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to ensure commensurate reimbursement of clinical severity and services rendered to patients with a Diagnosis Related Group based payer (Medicare, Medicaid).
Responsibilities
• Manage all electronic clinical documentation in health centers.• Educates individual physicians in staff model centers on CMS coding guidelines and appropriate Risk Adjustment procedures comply with CMS standards.• Review concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality.• Trains and coaches’ coders as assigned by regions; provides guidance in their daily workflow activities.• Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation, as well as prevention of inappropriate coding.• Complete well-timed follow-up case reviews on all concurrent cases with priority given for resolution of those with clinical documentation clarifications.• Participate in meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified.• Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes.• Communicates with and educates all physician and clinical staff concerning accurate and effective clinical documentation.• Facilitate the overall quality and completeness of the clinical documentation to accurately represent the severity, acuity, and risk of mortality profile of the patient being treated.• Collaborates with data teams to identify any potential gaps related to Risk Adjustment.• Works with the QA and the team leads in order to make sure the proper education is maintained and that the chronic conditions are captured appropriately.
Qualifications
• Preferred Registered Nurse/Licensed Practical Nurse• Minimum two (2) years prior coding experience with AAPC certifications• Minimum two (2) years prior CDI experience• Proficient in Microsoft Word and Excel• Strong organization, training and process management skills• Strong collaboration and relationship building skills• Excellent written and verbal communication skills• Ability to learn new tasks and concepts
Cano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
