CDI Specialist - Remote (PST Hours) - 2246421 Concord, CA 09/27/2024 Medical & Clinical Operations
About the position
Responsibilities
• Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment.
• Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity.
• Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement.
• Actively communicates with providers at all levels to clarify information and communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality.
• Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes.
• Ensures effective utilization of CDI software to document all verbal, written, electronic clarification activity.
• Proactively develops a reciprocal relationship with the HIM Coding Professionals.
• Engages and consults with Physician Advisor /VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications.
Requirements
• CCDS or CDIP certification, or ability to obtain within 6 months of employment.
• 7+ years of acute care hospital clinical RN experience OR Foreign Medical Graduate with 2+ years of experience working as a Clinical Documentation Improvement Specialist in an acute hospital setting.
• 1+ years of CDI experience.
• Experience communicating & working closely with Physicians.
• Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records.
• Ability to work daytime PST hours.
Nice-to-haves
• BSN degree or equivalent.
• Optum 360 e-CAC experience.
• Epic experience.
Benefits
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
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