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CDI Specialist II

CDI Specialist II

Honest HealthNashville, TN, US
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Who You Are

You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter youinstead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems, physician organizations, and payers to providers, practices, and patients to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day's work.

Your Role

As a CDI Specialist II, you will support physician offices within our established partnerships to assist them in Honest's concurrent and retrospective programs to ensure accurate coding / documentation and comprehensive data collection. You serve as a subject matter expert in ICD-10-CM, AHA Coding Clinic for ICD-10-CM and CMS Medicare Part C instructions and requirements for diagnostic coding. This expertise will also be used to educate internal team members and external providers about compliant, accurate and comprehensive documentation and coding for their patient populations. In addition, the CDI Specialist II role will include an analysis component designed to identify trends and educational opportunities for the external providers with whom we partner.

Primary Functions of the CDI Specialist II Include :

  • Work collaboratively with physicians, Advanced Practice Practitioners, other healthcare professionals, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality are captured for the level of service rendered to all patients.
  • Provide coding support, education, and training related to quality of documentation and diagnosis coding while adhering to ICD-10-CM Offical Guidelines for Coding and Reporting, AHA Coding Clinic, and CMS Medicare Part C instructions and guidance.
  • Audits clinical documentation and coded data to ensure appropriate support of diagnoses, procedures, treatment, services rendered for reimbursement, and reporting purposes.
  • Designs, develops, and delivers training presentations based upon documentation review findings.
  • Identifies documentation performance opportunities, communicates to leadership, and develops an education strategy / plan for improvement.
  • Prepare training and presentations on complex conditions, providing guidance on appropriate documentation and coding.
  • Deliver risk adjustment coding and documentation training to provider partners' internal billing and coding team.
  • Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

  • High school diploma, GED, Associate's degree or suitable equivalent
  • 4+years medical coding experience required
  • 4+ years provider engagement and education experience required
  • CRC, required
  • CPC, CCS, CCS-P, RHIT, or RHIA, required
  • CDEO or CCDS-O, preferred
  • Auditing experience, required
  • CPMA, preferred
  • AAPC Approved Instructor, preferred.
  • A thorough understanding of anatomy, pathophysiology, and medical terminology necessary to correctly code using CPT, ICD-10, and HCPCS Level II coding systems
  • Demonstrate understanding of current Quality Measure Initiatives including Value Based Care
  • Demonstrate knowledge of pathophysiology, disease management, and coding guidelines
  • Working knowledge of HIPAA Privacy and Security Rules
  • Demonstrated proficiency in computer skills, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, Microsoft Teams
  • Excellent communication skills, both verbal and written
  • Strong people skills and ability to build supportive relationships with providers
  • Outstanding organizational skills and an ability to operate efficiently and independently
  • CMS HCC Risk Adjustment experience, required
  • High attention to detail required
  • Occasional travel to deliver education to providers in person may be required, up to 15%
  • The base pay range for this role is $31.30 - $34.95. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

    How You are Supported

    Full time team members may be eligible for

    Competitive Compensation

  • Attractive base salary with performance-based bonuses and rewards
  • 401(k) plan with a generous company match, fully vested from day one
  • Comprehensive Health and Wellness Benefits

  • Flexible health, dental, and vision insurance options tailored to your needs
  • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
  • 100% company-paid short-term disability and life insurance
  • Wellness programs and resources to support your physical and mental health
  • Work-Life Balance

  • Generous paid time off, including vacation, sick leave, and paid holidays annually
  • Two paid volunteer days to support causes you're passionate about
  • Flexible work arrangements to accommodate your lifestyle
  • Professional Development

  • Robust onboarding program and ongoing training opportunities
  • Reimbursement for role-related continuing education and certifications
  • Family-Friendly Policies

  • Paid parental leave for new parents
  • Dependent care flexible spending accounts
  • Support for work-life integration
  • Collaborative and Purpose-Driven Environment

  • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
  • Opportunities to contribute to meaningful projects and initiatives
  • Additional Perks

  • Team member recognition programs
  • Team-building events and social activities
  • Join us and experience a rewarding career where your contributions are valued and your growth is supported.

    Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics.

    Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

    Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

    To safeguard your personal information, Honest Health will never ask for confidential detailssuch as social security numbers, bank accounts, or routing numbersbefore making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

    We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honesthealth.com

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