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Regional Clinical Document Specialist - Lead - Hybrid *Days - 40hrs/wk
Shift: Days
General Summary:
The UMHP Lead Clinical Documentation Specialist is responsible for providing work direction to the UMHP Clinical Documentation Specialist (CDS) team in the planning, coordination and upstream education of clinical documentation improvement and clinical revenue optimization for the ambulatory Primary Care site and Specialty Care service line physicians, APPs and staff. The lead coordinator will provide full program management and improve/optimize workflows and processes to support the education and analysis of coding, documentation, revenue optimization, reimbursement excellence, Annual Wellness Visits (AWVs), modifier usage trends/development, portal messaging and CPT/ICD-10 and HCC code usage for UMHP to achieve best in class in ensuring appropriate payment for outpatient professional clinical visits/services, surgeries, procedures and imaging studies. The lead will partner with the medical site and service line leadership to identify gaps and opportunities for revenue capture and assist with implementation of processes in the ambulatory clinical setting. This position will lead the review and delivery of physician and APP clinical documentation and charge capture, provide updates to leadership on Return-on-Investment status and progress of efforts to improve charge capture and maintain a strong collaborative relationship with the Clinically Integrated Network (CIN) and other relevant departments. The lead coordinator will provide partial coordination and project management of the Medical Group and Population Health governance structure, guiding the coordination and evolution of the UMHP Revenue Oversight Committee (UROC) and UMHP Revenue Implementation Committee (URIC).
Requirements:
Essential Functions and Responsibilities:
Requisition #: req10717