The Outpatient Clinical Documentation (CDS) Specialist is responsible for ensuring the accuracy, specificity, and compliance of clinical documentation in the ambulatory setting, with a strong focus on risk adjustment and HCC capture. This role would report to Pop Health but would work with the Augusta Medical Group (AMG) providers to support the providers by validating diagnoses, improving documentation quality, and enhancing outpatient workflows. Unlike traditional inpatient CDS roles, the Outpatient CDS Specialist focuses on ambulatory documentation, outpatient coding guidelines, and clinical decision support tools to ensure documentation accurately reflects patient complexity and supports value-based care initiatives.
Minimum Qualifications
- Bachelor’s in nursing or equivalent experience
- Licensed Registered Nurse in Virginia
- Coding Certification with 6 months of hire if not already certified.
- Two (2) years of clinical nursing experience
- Certification in both outpatient coding and HCC coding preferred
- Experience with ambulatory coding and documentation preferred
- Teaching/Education experience preferred
Skills
- Knowledge of health systems operations, health policy, and/or health care contracting
- Knowledge of population health programs and concepts
- Strong clinical judgement and analytical skills with high attention to details and strong compliance mindset.
- Advanced written and verbal communication skills with the ability to engage with providers
- A high degree of professionalism and competency in dealing with a variety of individuals
- Ability to teach complex concepts and maintain collaborative relationships
- Ability to independently organize and prioritize work
- Ability to interpret clinical data and translate it into actionable documentation guidance.
- Ability to deploy appropriate data sources, analysis methods, and effective communication of analytical results
- Articulates and presents data, information, and ideas in a clear and concise manner
- Creates an environment that encourages diverse opinions, recognizes differences and incorporates into process and services
Some benefits of working at Augusta Health include:
- Retirement savings helping you to plan for your future
- Free onsite parking
- 24/7 armed security to ensure your safety
- Tuition reimbursement
- Onsite child care
- Augusta Health Fitness Reimbursement Program
- Individualized orientation with dedicated preceptor
- Onsite credit union
- Employee discounts including the cafeteria, gift shop, pharmacy, and movie tickets
Company Information
Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.
Equal Opportunity
Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Bachelor's in nursing or equivalent experience
- Licensed Registered Nurse in Virginia
- Coding Certification within 6 months of hire
- Two years of clinical nursing experience
- Certification in outpatient coding and HCC coding preferred
- Experience with ambulatory coding and documentation preferred
- Teaching/Education experience preferred
What We Do
Nestled in the beautiful Shenandoah Valley, Augusta Health is among the finest community hospitals in America. Our patients receive an exceptional level of care, reassured that their loved ones and visitors have many amenities available within the hospital so they can all be comfortable while staying close during difficult times. Augusta Health opened in 1994 to continue a tradition of personalized care with small-town hospitality that began more than 50 years with predecessor hospitals in Staunton and Waynesboro, Virginia. Today, our highly trained physicians and staff use state-of-the-art technology to provide superlative care with warmth and compassion.
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