Clinical Documentation Improvement Specialist (Remote)

Nice to meet you, we're Vesta Healthcare.

Vesta Healthcare is a Series B startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise.

Our program monitors in real-time, identifying issues before they become health events, and helping connect those in need with those who can help via technologies such as video, chat, and telephone. Our technology platform includes home-based mobile applications, a clinical dashboard, and data analytics on data not previously available to health professionals. We are disrupting a $109 billion industry and have recently closed our latest funding round with a blue-chip list of investors.

We're looking to add to our team of experts who care deeply about our mission.

Our team is passionate, driven, collaborative, intellectually curious, and excited about the opportunity to transform our healthcare system. We're inspired by caregivers and seek to create a platform that recognizes, utilizes and supports the vital role they play. We strive to continuously learn, explore, experiment and achieve results. We are here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids).

The ideal teammate would be…

As the Clinical Documentation Improvement Specialist, you would be a valued member of the team. We are looking for a detail-oriented clinically trained individual who can provide expertise, education and guidance for improved clinical documentation. This individual will ensure clinical documentation accuracy, capture of quality measures and drive continued documentation improvement for the team. This individual will serve as a role model and facilitator within the clinical and operations team and support the leadership team with execution on the departments' vision. The clinical documentation specialist is self-directed and possesses advanced analytical skills, critical thinking, creativity, and the ability to anticipate and identify opportunities and potential problems. This position will closely collaborate with the clinical and administrative teams.

The ideal teammate would be able to:

• The clinical documentation specialist collaborates extensively with physicians, nursing staff, other patient caregivers, and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction, and submission of accurate data required by CMS
• Facilitates concurrent modifications to clinical documentation to ensure commensurate reimbursement of clinical severity and services rendered to patients
• Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting clinician and team outcomes/productivity
• Communicates with and educates all clinical staff concerning accurate and effective clinical documentation
• Completes accurate and timely review to ensure the integrity of the documentation compliance resulting in accurate diagnosis and procedure classification used for reimbursement and quality metrics
• Recognizes opportunities for documentation improvement using critical thinking skills
• Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance
• Strategically educates clinicians and staff regarding the need for accurate and complete documentation in the health record that includes regulations and compliance guidelines
• Queries team regarding missing, unclear or conflicting health record documentation
• Solves complex problems and takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information
• Impacts a range of customer, operational, project or service activities within own team and other related teams; works within broad guidelines and policies
• Works independently, receives minimal guidance
• Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions
• Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence
• Develop and use collaborative relationships to facilitate the accomplishment of work goals
• Effectively manage one's time and resources to ensure that work is completed efficiently

Would you describe yourself as someone who has:

• Bachelor's degree with current active clinical license (RN) (required)
• 5+ years of patient care experience (required)
• 3+ years of clinical documentation improvement experience, coding experience or equivalent (required)
• 1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
• 3+ years QA experience in a healthcare setting (required)
• Bilingual Spanish (preferred not required)
• Experience with risk adjustment and value based care delivery systems
• A keen eye for detail and ability to inspire the team to exceed goals
• Strong analytical, written and verbal communication skills; demonstrated ability to think critically and adapt well to new processes
• Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment
• A genuine, compassionate desire to serve others and help those in need
• Experience with Powerpoint/Excel / Google Slides/Sheets
• Experience working in a remote environment

In addition to amazing teammates, we also offer:

• Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
• Paid vacation
• Paid Sick/personal days
• 12 paid holidays
• One time reimbursement to set up your home office
• Monthly reimbursement for internet or other home office expenses
• Monthly gym reimbursement to be used for gyms, online classes, etc
• Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us
• Voluntary benefits such as Pet, Home and Auto, Legal Insurance plus more
• Pre-tax Flex Spending/Dependent Care/Transit accounts
• 401k with 4% match

Pay range between $85-$92k annually

We look forward to speaking with you!

Vesta Healthcare is committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. Vesta Healthcare is an Equal Opportunity/Affirmative Action Employer. Candidates are selected without regard to race, color, religion, sex, national origin, disability, marital status, or sexual orientation, in accordance with federal and state law.

At Vesta, we are constantly searching for the most dynamic and best talent to join our team with a mission of empowering caregivers in the home!
If you are ever contacted by e-mail from any domain other than https://vestahealthcare.com, please do not respond, as there is a likelihood it could be a scam as it is not a legitimate Vesta email. You might see things from a similar domain address, but with a slight misspelling, for example. We have no responsibility for any communication that does not come from the https://vestahealthcare.com domain, and we strongly advise that you not provide information or respond if not from the legitimate Vesta domain.