Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.
As a Coding Quality Education Coordinator, you will provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders. In this role, you will serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records. You will conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs. You will also contribute to process improvement initiatives informed by audit findings and hospital or institute performance improvement priorities impacted by documentation quality. Areas of focus will include surgical and operative techniques, ICD-10-CM and CPT/HCPCS coding conventions and guidelines, modifier application and Medicare regulatory updates.
A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m.
A caregiver who excels in this role will:
Provide one-on-one and classroom-based clinical documentation and coding education to medical staff, Advanced Practice Providers and other key stakeholders.
Serve as a subject matter expert for Cleveland Clinic on documentation standards, reimbursement methodology and data interpretation as they relate to hospital records.
Conduct quality reviews of inpatient CDI cases, queries, assigned codes and working DRGs.
Educate and mentor new employees through the on-boarding process.
Train caregivers on initial CDI process, concept training and on-going education related to new topics in CDI, coding and reimbursement.
Support CDS with new technology and technology updates. Assists with and provides suggestions for continuing education topics and issues.
Monitor CDI compliance through quality audits and data analysis.
Provide feedback to the management team and staff regarding ICD 10 CM/PCS, CPT-4 coding, DRG assignment and related clinical documentation issues or concerns.
Analyze and evaluate clinical and operational systems and processes relative to reimbursement and quality statistics through chart review and other special study methods.
Recommend data quality improvements and revenue enhancements.
Develop and maintain CCHS facilities policies and guidelines in accordance with AHIMA Practice Briefs, Official Coding Guidelines, ACDIS standards and Coding Clinic.
Educate groups and individuals within and external to HIM regarding documentation, coding, DRG, ICD-10, CPT-4 code assignment and the reimbursement process
Interact with and educate physicians,APPs, and caregivers individually and in groups.
Assist with the analysis of statistical and other reports.
Support CDI and HIM program initiatives.
Anticipate and respond to changing skills requirements.
Seek opportunities to learn new skills and actively coach and encourage team members to do the same.
Successfully integrates team into the CDI and HIM process to promote their development.
Comply with CCHS and departmental policies and procedures consistently.
Minimum qualifications for the ideal future caregiver include:
Must meet one of the following education requirements:
An Associate's Degree in Health Information Management from a CAHIM accredited program or related field AND must be a Registered Health Information Technician (RHIT)
OR a Bachelor's Degree in Health Information Management from a Commission on Accreditation for Health Informatics and Information Management (CAHIIM) accredited program or related field AND must be a Registered Health Information Administrator (RHIA)
OR a graduate from an accredited school of nursing (Licensed Practical Nurse or Registered Nurse) AND an active State of Ohio Licensed Practical Nurse (LPN) or Registered Nurse (RN) licensure
OR a graduate of a medical college
Three years of experience in clinical documentation improvement in hospital settings
(Bachelor's Degree in Nursing or medical degree may substitute for up to two years of experience)
In-depth knowledge of ICD-10-CM, CPT-4 coding principles and DRG assignment
Formal coursework in anatomy, physiology and medical terminology in order to accurately interpret the medical record.
Expert knowledge of CDIS applications
Working knowledge of both personal computer applications and mainframe computer systems
Excellent verbal and written communication skills and are detail-oriented with strong analytical abilities
Preferred qualifications for the ideal future caregiver include:
Certified Interventional Radiology Cardiovascular Coder (CIRCC)
Certified Professional Coder (CPC)
Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist (CCS)
Personal Protective Equipment:
Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities