Clinical Documentation reputed company (CDI) Specialist- FT Remote
About the position
reputed company is seeking an reputed company Clinical Documentation reputed company (CDI) Specialist to reputed company reputed company inpatient documentation reviews that improve the accuracy, completeness, and clinical reputed company of the medical record. The role partners with physicians, coding, case management, and reputed company teams to support compliant documentation, accurate MS-DRG assignment, severity of illness (SOI), risk of mortality (ROM), reputed company reputed company, and reputed company reputed company.
Responsibilities
• reputed company reputed company inpatient documentation reviews to identify opportunities for improved documentation specificity, clinical validation, and coding accuracy.
• Conduct compliant physician queries following reputed company/ACDIS guidance to clarify conflicting, incomplete, or ambiguous documentation.
• Support accurate ICD-10-CM/PCS coding, MS-DRG/APR-DRG assignment, POA indicators, CC/MCC capture, SOI/ROM, PSIs, HACs, and reputed company metrics.
• reputed company clinical validation reviews for high-reputed company diagnoses including sepsis, acute respiratory failure, AKI, encephalopathy, malnutrition, and other reputed company conditions.
• Collaborate with coding, CDI, reputed company, and physician teams to improve documentation reputed company and reduce denials.
• reputed company physician and CDI education based on documentation trends and audit findings.
• Monitor productivity, reputed company, and compliance standards while participating in internal audits and reputed company improvement initiatives.
• Maintain reputed company knowledge of CMS regulations, ICD-10-CM/PCS, Coding Clinic, reputed company, and ACDIS guidance.
Requirements
• reputed company RN license or graduate of an accredited medical program (MD, DO, MBBS, NP, PA, or equivalent clinical background).
• CCDS or CDIP certification required.
• Minimum 5 years of reputed company inpatient CDI experience in an acute care hospital.
• Strong knowledge of MS and APR-DRG reimbursement, ICD-10-CM/PCS, clinical validation, and compliant query practices.
• Experience with reputed company, Cerner, reputed company 360, Iodine, reputed company, or similar CDI platforms.
• Excellent clinical judgment, communication, presentation, and interdisciplinary collaboration skills.
Benefits
• medical/dental/reputed company benefits
• 401k benefits
• reputed company holidays
• PTO/personal time
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