Job Details

JOB DESCRIPTION

DATE POSTED: July 02, 2024 ***Updated on August 15, 2024***

POSITION TITLE: CLINICAL DOCUMENTATION SPECIALIST (OUTPATIENT) (REGIONAL)

STATUS: Exempt | Casual Hire (0.30 FTE)

SALARY: Negotiable | BU00

LOCATIONS: This is a regional position that is located in the Health Information Management (HIM) department of the Hawaii Health Systems Corporation (HHSC) Kauai Region, a public benefit corporation of the State of Hawaii. HHSC Kauai Region consists of Kauai Veterans Memorial Hospital (KVMH) and Samuel Mahelona Memorial Hospital (SMMH), both critical access hospitals; The Kauai Region Clinics; and its affiliates.

The HIM department manages patient medical records, compiles essential statistics for cost analysis and service optimization, and oversees records management, including disease coding, birth documentation, and regulated record dissemination for ongoing care, insurance, and legal use.

JOB FUNCTIONS: The Clinical Documentation Specialist (Outpatient) (Regional) utilizes advanced coding and clinical expertise to direct efforts toward the improvement of clinical documentation through the roles of educator and consultant; facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation through extensive record review; performs the daily review, analysis and coding of patient records; monitors coding for quality control; codes diagnosis and procedures; reviews and analyzes medical records; also trains new coders and any other duties as assigned.

This position has extensive interaction with physicians and other members of the healthcare team; achieves appropriate clinical documentation to support the medical necessity and level of services rendered to all patients; as well as participates in the development and delivery of education for providers and members of the healthcare team; identifies factors influencing and complexity and severity of patient diagnoses; works collaboratively with providers in the ambulatory setting to ensure overall specificity, accuracy, and completeness of clinical documentation to support the highest integrity of the medical record.

This position reports to the Regional Director of HIM, position no. 109770, or its designee.

MINIMUM QUALIFICATION REQUIREMENTS

To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experience are credited based on a 40-hour workweek. All applicants are required to provide evidence of all applicable education, licenses, and certifications.

Education: Bachelors degree from an accredited four (4) year college or university. Relevant substitutions allowed. Bachelors degree in Health Information Management preferred.

License: Current, valid type# 3 drivers license preferred.

Certifications:

Required at the time of hire appointment:

1. Certified Coding Specialist (CCS) issued from The American Health Information Management Association (AHIMA); OR
2. Registered Health Information Technician (RHIT) issued from AHIMA; OR
3. Registered Health Information Administrator (RHIA) issued from AHIMA; OR
4. Certified Professional Coder (CPC) issued from The American Academy of Professional Coders (AAPC); OR
5. Certified Outpatient Coder (COC) issued from AAPC.

Present at the time of hire appointment or willing to acquire within three (3) years of employment:

1. Certified Documentation Integrity Practitioner (CDIP) issued from AHIMA or
2. CRT- Certified Documentation Expert Outpatient (CDEO) issued from AAPC or
3. Certified Documentation Expert Inpatient (CDEI) issued from AAPC or
4. CRT- Certified Clinical Documentation Specialist Outpatient (CCDS-O) issued from The Association of Clinical Documentation Integrity Specialists (ACDIS)

Experience: Minimum three (3) years of professional coding work experience. Professional experience in training and auditing preferred.

Desirable Qualifications: Demonstrates dynamic personality, and comfort with public speaking and interacting with medical staff and administration. Must have strong public speaking skills, and motivation to promote the program. Possess the ability and willingness to accept autonomy with responsibility, and commitment to a collaborative practice.

DESIRED SKILLS & ABILITIES

Knowledge of: practices relating to quality care, utilization and reimbursement issues; practices in all clinical areas including medications and various lab and test results; understanding of insurance types; community resources; and basic computer skills.

Possesses personal initiative and integrity; mental, emotional and physical health sufficient to meet the demands of the position.

Ability to: demonstrate effective problem-solving skills; communicate effectively, both verbally and in writing; be independent, self-directed, creative and flexible; respect and maintain confidentiality of information; prioritize; and deal effectively with others; work in stressful environment; dealing with multiple tasks and various people; work at a desk for long periods of time; light lift, reach and stoop; perform some lifting and/or pushing/pulling up to 20 pounds; work with interruptions and perform detailed tasks; concentrate and read for long periods of time; sit for long periods of time; travel to Kauai Region facilities as needed.

HEALTH & PHYSICAL REQUIREMENTS

Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation.

• May be exposed to infections and contagious diseases.
• Position requires travel to and from the Kauai Region facilities as needed.

COMPANY DESCRIPTION

Join our dynamic team at HHSC Kauai Region, where we are proud to offer a comprehensive range of healthcare services at our critical access hospitals KVMH and SMMH. From full-service emergency departments to specialized surgeries, family and internal medicine, intensive care, obstetrics and gynecology, behavioral health, pediatrics, and a range of ancillary services, we are dedicated to providing quality, compassionate care to our community. With locations across Kauai, including outpatient clinics and urgent care facilities, we strive to make healthcare accessible to all. As part of the Hawaii Health Systems Corporation, we uphold values of excellence, transparency, accountability, integrity, and teamwork. Join us as we work together to deliver exceptional care and make a positive impact in the lives of those we serve.

BENEFITS

Embark on a fulfilling journey with a team that genuinely values your well-being and professional development. We are excited to offer part-time and seasonal employees a comprehensive benefits package, including automatic enrollment in the State of Hawaiis Deferred Compensation Plan, kickstarting your financial stability. For those not covered by the Employers Union Trust Funds (EUTF) full-time plans, we offer medical and prescription drug plans as we believe your health is your greatest asset. Navigating lifes uncertainties is easier with our Employee Assistance Program, designed to support you and your loved ones. Were committed to supporting your ambitions, offering potential eligibility to our Student Loan Repayment & Scholarship Programs. Join us for a career that cares for your personal enrichment and professional growth.