About Monogram Health

We are dedicated to improving the well-being, quality of life and health outcomes for our patients by partnering with the nation's leading kidney specialists to provide transformative kidney care. Monogram Health supports patients suffering from Chronic Kidney Disease and End Stage Renal Disease by forming deep rooted relationships and preparing them both emotionally and physically for the challenges of managing kidney disease. Monogram Health uses next generation artificial intelligence algorithms to predict necessary and timely care to promote the delay of kidney disease progression, seamless transitions to dialysis and/or pre-emptive kidney transplant. We then utilize in-home visits to build meaningful relationships between patients and their care team that drive positive behavior change and optimize our patients’ health outcomes.

Position: Clinical Documentation Integrity Specialist

The Monogram Clinical Documentation Integrity (CDI) Manager will bring to the role a strong understanding of clinical documentation, coding, and risk adjustment requirements. The Manager will lead a team of clinical documentation improvement specialist to ensure each encounter represents accurate and complete documentation of the patient’s health status. Responsibilities include managing, coordinating, and performing day-to-day operations to include personnel management, education, training, productivity, work assignments and quality reviews. Facilitates and promotes standardization across the enterprise and ensures alignment of high-quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. The Manager will also demonstrate strong leadership, operational planning, and presentational skills as well as display good judgment and critical thinking to address business problems that touch upon either the coding unit’s or clinical consultant(s) work.

Position Requirements

• Associate degree or higher, preferred
• CDIP, CCDS, CDEO credentials, required
• RN, LPN credentials, required
• RHIA/RHIT, CPC, CRC, CCS, CCS-P, preferred
• 5+ years’ experience as CDI specialist, required
• 3+ years’ experience in HCC Coding, preferred
• Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
• Experience communicating & working closely with Physicians
• Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment

Roles and Responsibilities

• Maintains production goals
• Audits and analyzes clinical documentation to identify compliance and opportunities for improvement.
• Review analytics and advises providers on interpretation and/or validation of data; recommends solutions to meet objectives.
• Provides timely correspondence with providers regarding clinical documentation opportunities and queries.
• Keeps abreast of regulatory changes related to documentation, coding and communicate these changes to appropriate staff.
• Identifies trends through data analysis or chart review, reviewing existing policy for accuracy and developing new policies, as necessary.
• Applies mandated regulatory, documentation and coding guidelines to documentation
• Demonstrates proficiency with all areas of CPT, ICD-10 and HCPCS coding. Category II codes, auditing, and education.
• Prepares and presents educational training to all internal constituents related to clinical documentation issues and coordinates same with clinical staff, compliance, and coding staff.
• Identifies potential opportunities based on claims and medical record data to ensure the accurate reporting of the severity of the patient's condition.
• Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines
• Performs other duties as required or assigned

Benefits

• 
  Opportunity to work in a dynamic, fast-paced, and innovative care management company that is transforming the delivery of kidney care
• Comprehensive medical, dental, vision and life insurance
• Flexible paid leave & vacation policy
• 401(k) plan with matching contributions
• Health Savings Account (HSA) and Flexible Spending Account (FSA)

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

zgpZkYUTDo