Clinical Documentation Integrity Coding Quality Liaison

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Under the direction of CDI leadership, the CDI Coding Quality Liaison oversees accuracy and completeness of the final coded set of diagnoses and procedures. After CDS chart review and potential and clinically appropriate query processes are completed, the Liaison becomes a gatekeeper for any Second Level Review (SLR) requests. Using both ICD-10 CM and PCS official coding guidelines, as well as CDI-related clinical expertise, the Liaison identifies opportunities and intervention points to correct incomplete codes required to capture the quality of care and resource consumption. The CDI Coding Quality Liaison monitors both CDS and Coder-initiated SLR request topics for education development and dashboard metric contributions. Additionally, the CDI Coding Quality Liaison Serves as a Diagnosis Related Group (DRG) expert, supporting clinical documentation initiatives across their assigned market areas.

Job Description:

EDUCATION:

• Bachelors degree

TYPICAL EXPERIENCE:

• 3 years IP Coding experience.

CERTIFICATION & LICENSURE:

• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

SKILLS AND KNOWLEDGE:

• Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical pre-employment test at a rate of 85% or better is required for new hires.
• Subject matter expertise in the area of clinical documentation to ensure the completeness of the patient records using multidisciplinary and interdisciplinary teams.
• High degree of hospital coding knowledge, including but not limited to APR-DRG, MS-DRG, HCCs, Medicare, Medicaid & Managed Care, in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality, capture severity, assess acuity and determine risk of mortality.
• Thorough knowledge of clinical documentation requirements, clinical procedures, disease processes, treatments, and the patient populations served.
• Subject matter expertise regarding quality and reimbursement implications of clinical documentation and coding.
• Up-to-date knowledge of ICD-10 mandate and the impact of code set transition, including potential impact on data quality for prospective payments, utilization, and reimbursement.
• Demonstrated familiarity and adept use with software and technical applications including but not limited to: Microsoft Office products (Outlook, Excel, Word, PowerPoint), Electronic Health Records, Encoder, Healthcare databases.
• Strong Organization and Quantitative Analysis skills including spreadsheet applications and statistics.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Variable

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $58.95 to $88.43 / hour. New Jersey, Washington Pay Range is $58.95 to $88.43 / hour. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $53.06 to $79.59 / hour. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $47.16 to $70.75 / hour.

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package. ​