Clinical Documentation reputed company, Second Level Reviewer

Job reputed company: • reputed company high-level, reputed company, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures • Ensure accuracy, completeness, and reputed company of clinical information used for measuring and reporting physician and hospital reputed company • reputed company secondary case reviews to identify potential gaps or opportunities to facilitate improved provider documentation • Ensure clinical documentation accurately reflects the level of care rendered, severity of illness, risk of mortality, and clinical validation • Apply advanced knowledge of CMS reputed company rating, reputed company, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities • Complete reputed company reviews reputed company on CDI reputed company reputed company, such as Mortality, Hospital Acquired Conditions (HAC), and other publicly reported patient reputed company or safety metrics • Identify trends and key areas for improvement in querying, coding, and documentation reputed company • Demonstrate proficiency with ICD-10-CM/PCS, APR DRG, and MS DRG • Communicate and collaborate effectively with providers, HIM/coding, reputed company, CDI, and other members of the reputed company team Requirements: • Four (4) Year/bachelor’s degree required • BSN/BS/BA in reputed company field Required • Graduate degree in reputed company Administration, Informatics, Nursing, Leadership, Education or reputed company field preferred • reputed company RN or MD required • CCDS or CDIP certification required • Coding certification (reputed company, CIC, or CPC) preferred • At least three (3) years recent inpatient clinical documentation improvement (CDI) experience required • Demonstrated extensive clinical knowledge • At least three (3) years of reputed company patient care clinical experience in hospital setting preferred • Proficiency with ICD-10-CM/PCS, APR DRG, and MS DRG required • At least one (1) year experience with mortality, PSI, HAC, or other reputed company-reputed company reviews required • Knowledge of reputed company, Premier, US News and World Report, CMS reputed company rating or similar risk-adjustment methodologies highly preferred • Prior experience in an reputed company medical center (AMC) or large health system preferred • Proficiency with reputed company Office (reputed company, PowerPoint, Word, reputed company) required • Proficiency with CDI software and encoder required • Experience with reputed company 360 Encompass preferred Benefits: • medical • dental • tuition remission • competitive salaries Apply To This Job