Clinical Documentation Analyst

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary:

Clinical Documentation Analyst is a certified professional who possesses clinical knowledge and professional/technical skills and is responsible for the audit functions of the City of Hope Medical Center charging system, Research Billing charge correction functions or review and processing of all City of Hope National Medical Center Radiation Oncology charges, including maintaining functional knowledge of ARIA radiation oncology management system. The Clinical Documentation Analyst utilizes clinical knowledge to properly identify documentation that reflects and supports the transactions of services rendered to the patients.

As a successful candidate, you will:

Audit/Review documentation and charge capturing workflows to ensure efficiency and effectiveness. This includes:
* Verifies medical procedure documentation and completeness of the Medical Record. Requests documentation as needed to support charges.
* Coordinates/conducts entrance and exit audit interviews with third party payers in relation to patient bills. Recommends to management the appropriate actions and strategies to be taken.
* Reviews medical records for appropriate documentation to appeal proposed clinical and technical denials
* Conducts special patient charge studies. Develops data and provides interpretation of intangible or unusual factors and summarizes findings appropriately.
* Interprets and explains to patients or family members the details of medical services provided, if requested.
* Conducts department in-service training on an as needed basis.
* Reviews and analyzes data required for internal and external audits as directed
* Improvement of department processes and procedures to assure timely and accurate capture of all chargeable activities;
* Development of action plan with responsible parties and due dates of issues identified;
* Development of policies and procedures for timely and accurate charge capture mechanisms; Prepares report of findings for management

Your qualifications should include:

• Associate's degree or equivalent experience accepted
• Five years current related experience in an acute care facility or 4 years of experience in Radiation Oncology
• RN, coder or equivalent clinical documentation background.
• RN or Certified Coding (CCS, CPC)

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.