Analyst, Clinical Documentation Auditor

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health 

Title: Analyst, Clinical Documentation Auditor

Location: Remote

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

Role Description

The Clinical Documentation Auditor is a vital member of the Population Health Clinical Documentation auditing team at Oak Street Health. S/he champions the organization's mission to provide high quality patient care by providing measurable, actionable feedback to providers that will result in improved documentation accuracy and coding practice. The role will collaborate with providers, coders, payers, and a variety of internal and external personnel on a wide scope of Clinical Documentation Auditing education efforts.

Responsibilities

• The Clinical Documentation Auditor will comprehensively review outpatient provider notes for accuracy and completeness.

• Synthesize coding correction opportunities for ongoing provider education.

• Audit team members should achieve 90%+ audit results on coding correction accuracy and less than 25% on missed coding correction opportunities.

• Auditing team members should review on average a minimum of 20 provider notes per day.

• Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes

• Auditing team members should be able to identify trends and training opportunities to support clinical documentation accuracy improvement.

• Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes

• Other duties as assigned

What we’re looking for

• At least 3 years of experience in Medicare risk adjustment coding

• At least 3 years of experience in assigning/auditing ICD-10 CM codes to outpatient records

• Ability to succeed in a face-paced, ever-changing environment

• Self-starter with high degree of drive, initiative, and follow through

• Expert in accurate and specific documentation

• Strong communication skills

• A flexible and positive attitude

• Strong computer skills and basic knowledge of Microsoft Excel

• Ability to work independently with minimum supervision, excellent reliability, and a positive attitude

• CRC (“Certified Risk Coder”) credential is required

• RN or LPN certification preferred

• US work authorization

• “Oakiness” - driven by our mission, exuding positive energy, scrappy, roll-up-your-sleeves attitude

What does being “Oaky” look like?

Radiating positive energy

Assuming good intentions

Creating an unmatched patient experience

Driving clinical excellence

Taking ownership and delivering results

Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

• Collaborative and energetic culture

• High levels of responsibility and rapid advancement

• Headquarters (the “Treehouse”) located in the heart of Downtown, close to many public transit options and great restaurants 

• Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits
   

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.