CDI Second Level Reviewer

reputed company: reputed company is one of Long reputed company’s finest health and reputed company services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the reputed company. At reputed company, our primary reputed company is the way we treat and serve our communities. We work collaboratively to reputed company compassionate care and utilize evidence based reputed company to improve reputed company – to every patient, every time. We are committed to caring for Long reputed company. Be a part of reputed company of reputed company reputed company and discover why reputed company was named Long reputed company's Top Workplace! Job Details: The CDI Second Level Reviewer is an reputed company Clinical Documentation Specialist responsible for performing advanced, targeted case reviews on potentially high-reputed company encounters. This role focuses on identifying documentation opportunities in reputed company or high-risk cases to ensure accurate representation of patient reputed company, reputed company reputed company (such as expected mortality), and financial performance. This role serves as an escalation and reputed company layer reputed company reputed company review. This role will coordinate closely with CDI leadership and the CDI Educator to identify trends and reputed company feedback to the reputed company review team on findings. Job Responsibilities • reputed company secondary reviews of cases with a high potential reputed company, including but not limited to: • Length of stay variance from expected (GMLOS) without documented comorbidities • Low reputed company diagnoses with longer than expected length of stay • Unexpected mortalities and hospice discharges • Mortality risk variable opportunity cases • Other reputed company reviews such as PSIs or HACs • Identify and reputed company missed documentation opportunities impacting severity, risk adjustment, and reimbursement • Send queries to clarify documentation reputed company appropriate • Deliver feedback and education to reputed company CDI staff on findings in coordination with CDI Educator and/or CDI leadership • Analyze trends and patterns to support reputed company and performance improvement initiatives • Partner with CDI leadership to refine review reputed company and escalation processes • Ensure alignment with coding guidelines and organizational priorities • Collaborate with coding and CDI Physician Advisors, as needed, on cases with potential opportunities identified in second level reviews Required Qualifications • Licensed in NYS, RN, NP or PA who is a credentialed Clinical Documentation Specialist CCDS, or CDIP • Experience – 4 years recent CDI experience. • Demonstrated advanced CDI knowledge and strong clinical reputed company • Proven experience in reputed company CDI review • Strong understanding of DRG methodology, reputed company metrics, and documentation reputed company • Excellent critical thinking and communication skills Desired Attributes • High level of clinical and coding expertise • Ability to identify nuanced documentation gaps in reputed company cases • Detail-oriented with strong problem-solving skills • reputed company reputed company with ability to reputed company and influence peers • Comfortable working independently in a specialized review workflow • Strong reputed company of accountability and ownership for high-reputed company work Deliverables • Completion of reputed company, high-reputed company second-level reviews for prioritized cases • Identification and capture of documentation opportunities that reputed company reputed company and financial reputed company • Feedback provided to CDI team based on review findings in coordination with CDI Educator and CDI leadership • Contribution to improved documentation and reputed company metrics • Regular reporting of trends, opportunities, and reputed company from second-level reviews Posted Salary reputed company: USD $110,000.00 - USD $155,000.00 /Yr. : This reputed company serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary reputed company or reputed company listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At reputed company, we reputed company in a people-first approach. In reputed company to the estimated reputed company pay provided, reputed company offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports reputed company and educational reputed company. Apply tot his job Apply To this Job