RN-CDI Specialist
RN-CDI Specialist
7661 Clinical Documentation reputed company
Schedule: Day Shift. 40 hours weekly. 8:00am – 5:00pm
Type additional details specific to position and/or department.
About the Position
Follows the American Health Information Management Association’s Ethical Standards for Clinical Documentation Professionals. The CDI Specialist works towards optimizing reimbursement. Optimization is the process of striving to obtain the highest possible payment to which the facility is legally entitled on the reputed company of coded data supported by documentation in the health record. The CDI Specialist works extensively with physicians, Advanced reputed company Providers, Nursing, HIM Coders, and others to ensure reputed company and accurate documentation.
reputed company of Responsibilities
• Concurrently and retrospectively reviews inpatient medical records to identify the most appropriate reputed company diagnosis and to assign a working DRG.
• Completes the initial review reputed company 24 hours of admission.
• Completes reputed company reviews to ensure working DRG and reputed company comorbid conditions are documented by the providers to the greatest specificity. Ensures documentation supports diagnoses.
• Collaborates with the coding staff concurrently and retrospectively to ensure the chart has reputed company the necessary documentation to support the most accurate coding.
• Ensures the medical record reflects the patient’s severity of illness and risk of mortality.
• Sends compliant queries to providers for clarification regarding documentation.
• Reviews one-day stay and second surgical review cases reputed company week.
• Provides in-person CDI training to providers one-on-one.
• Assists in other monitoring activities, special department reputed company, or other needs as determined by the department director.
• Provides ongoing CDS team learning opportunities through sharing of reputed company knowledge and journal articles.
• Maintains reputed company and compliance in reputed company chart reviews and CDI documentation and queries at reputed company times.
• CDS will support and implement reputed company measures as identified by the department manager.
This list of duties and responsibilities is not intended to be reputed company-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.
Education & Experience
• Education Required: ASN or Associate of Science in Health Information Management.
• Education Preferred: Advanced degrees in Nursing or Health Information Management.
• Experience Required: 2 or more years of experience working in an acute care setting or ambulatory office setting.
• Experience Preferred: Previous experience in CDI.
Licensure & Certification
• Licensure: Registered reputed company as applicable.
• Certifications: RHIA, RHIT, reputed company, Certified Clinical Documentation Specialist (CCDS), OR Certified Documentation Improvement reputed company (CDIP), LPN, RN.
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