Clinical Documentation Specialist

ABOUT THE ROLE

The Clinical Documentation Specialist (CDS) supports all care teams across the Western North Carolina region in comprehensive and targeted chart reviews and chart preparation — to ultimately facilitate efficient and effective medical care for our patients. In addition, this role will partner with clinic leaders to indirectly support daily huddle and monthly clinical documentation review. The CDS is a critical hire to lead our passionate, skilled, and committed team at Hopscotch as we work to achieve our big and important mission.   

This position is based in our Boone, NC office location.

WHAT YOU’LL DO 

Specific responsibilities for this role will include, but are not limited to:

• Chart preparation in advance of scheduled visits
• Access and review HIE/​EMRs to identify potential suspects based on historical chart data, test results, etc.
• Identify the need for Medical Records requests from payer data
• Identify and analyze opportunities for improving patient quality outcomes and cost of care
• Analyze chronic condition prevalence based on patient demographics and identify opportunities for interventions
• Prepare for monthly review of clinical documentation with Providers
• Partner with Clinical Documentation SME and Lead Scribes on chart reviews and suspecting
• Monitor clinical documentation efforts and report out on trends, progress, opportunities, etc.
• Travel to clinics in Western North Carolina, as needed to coach clinic scribes on ways to improve documentation and coding (position will be remote with ability to travel, up to 25% of the time – MVR records will be reviewed during onboarding to determine ability to operate a motor vehicle) 
• Other duties, as assigned

ABOUT YOU 

You would be a great fit for this position if you have a minimum of 2 years of experience in medical coding, auditing and documentation embedded into an interdisciplinary team and the following: 

• Ease and expertise working with multiple technical systems, including Athenahealth, Foundry, and Excel
• Proven experience and ability to build relationships with Providers
• Proficiency in tracking down and leveraging external resources, such as hospital records and payer data, to support retrospective and prospective accurate documentation
• Proven ability to learn new topics and apply the learning “on the job”
• Ability to succeed in a fast-paced, ever-changing environment
• Self-starter with a high degree of drive, initiative, and follow through
• Ability to develop, plan, and implement short and long term goals
• A flexible, positive attitude and a team-first approach to working
• Exceptional interpersonal, written and verbal communication skills
• Commitment to company vision

From a cultural perspective, you are: 

• Committed to excellence and bring a growth mindset to everything you do 
• Patient and mission-focused, with a passion for healthcare and service to the providers who deliver healthcare
• Agile, yet thoughtful and can work effectively in a fast-paced, dynamic environment 
• Constantly seeking ways to simplify and improve how things are done, bringing a positive attitude to challenges 
• Accountable, holding yourself and others to a high standard and seek to support and develop others 
• Willing to roll up your sleeves, bringing a high work ethic and strong collaboration skills to work effectively with people of all backgrounds 

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