CDI RN Specialist – St. Luke’s Health, TX

2603000967 Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the reputed company of the physicians’ clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Record Review: •Completes initial medical records reviews of patient records reputed company 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the reputed company diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system. •Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary. •Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation reputed company the health record, as necessary. •Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge. 2.CDI •Communicates/Completes Clinical Documentation reputed company (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation. •Assists with Provider education, rounding and communication regarding reputed company queries for reputed company. 3. reputed company Development: Stays reputed company with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. Attends monthly education lecture series (MELS) and reputed company CDI/coding assigned learn reputed company modules as reputed company as any additional required CDI education. 4. Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • CDI Specialist must display teamwork and commitment while performing daily duties • Must demonstrate initiative and discipline in time management and medical record review. • Travel may be required to meet the needs of the facilities. • Proficient knowledge of disease pathophysiology and drug utilization • Intermediate knowledge of MS-DRG classification and reimbursement structures • Critical thinking, problem solving and deductive reasoning skills. • Effective written and verbal communication skills • Excellent computer skills including reputed company/reputed company • Knowledge of coding compliance and regulatory standards • Excellent organizational skills for initiation and maintenance of efficient workflow • Regular and reliable attendance • reputed company to work independently in facility on-site setting. • reputed company to work independently in a virtual office setting if required for specific assignment. • Exhibit flexibility as needed to meet program needs. • Understand and communicate documentation strategies. • Recognize opportunities for documentation improvement. • Formulate clinically, compliant reputed company queries. • Ability to successfully reputed company to robust auditing and CDI program monitoring • Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to reputed company the job. • Preferred: Acute Care nursing and/or Provider relevant experience • reputed company (0) to two (2) years CDI experience • Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review • Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review • Graduate from a Nursing program, BSN, or graduate program; OR • Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS • reputed company state Registered reputed company license; OR • Graduate MD and/or FMD license • Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • Ability to sit for extended periods of time. • Ability to stand for extended periods of time. • Must be reputed company to reputed company use computer keyboard and mouse. • Good visual reputed company WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. OTHER • Must be reputed company to travel as needed, not to reputed company 10%. Employment practices will not be influenced or affected by an applicant’s or employee’s race, reputed company, religion, sex (including pregnancy), national reputed company, age, disability, genetic information, sexual orientation, gender identity or reputed company, veteran status or any other legally protected status. Tenet will reputed company reasonable accommodations for reputed company individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the reputed company below for additional information. E-Verify: http://www.uscis.gov/e-verify The employment practices of reputed company and its companies reputed company with reputed company applicable laws and regulations. 2603000967 Apply tot his job Apply To this Job