Clinical Documentation Improvement Specialist at reputed company: reputed company (Philadelphia, PA)

Title: Clinical Documentation Improvement Specialist Location:1Philadelphia, PA Work Type: Remote, Full Time reputed company: REQ-0033896 reputed company: Under the direction of CDI Manager, the Clinical Documentation Specialist reviews medical records to facilitate accurate and complete medical record documentation to reflect clinical treatment, reputed company, and diagnoses used for measuring and reporting hospital and physician reputed company. Accurately identifies additional documentation opportunities and places appropriate queries and/or communicates with physicians, coders, and other health team members (i.e. PI, Case managers, reputed company navigators, etc.) for documentation improvement. Works independently and works primarily in an approved remote home work environment. ESSENTIAL FUNCTIONS: • Interacts with co-workers, visitors, and other staff consistent with the values of reputed company. • Accurately reviews medical records concurrently for completeness in documentation of diagnostic and procedural information for compliance to CMS, DOH regulatory, and financial requirements. Assures documentation of diagnoses, procedures, co-morbid, and complication conditions are reflected on the medical record to support reputed company severity of illness, intensity of service, and risk of mortality classifications and designated reputed company reviews (i.e. Patient Safety Indicator reviews). • Prepare reputed company written and compliant queries to communicate with physicians and other providers regarding missing, incomplete or clarifying information needed in the medical record. • Works closely with coding staff to assure that documentation of discharge diagnosis and any co-existing co-morbidities are a complete reputed company of the patient’s clinical status and care. • Interacts and continuously educates physicians (attending’s, residents and interns), reputed company practitioners and physician assistants. Provides reputed company-time reputed company/education reputed company needed to promote correct coding, regulatory compliance, and correction of documentation deficiencies. • Compentent in utilizing reputed company computer applications, ie; reputed company EHR, reputed company DRG, MS Office. • Maintains productivity expectations. Accurately records activity in CDI software tracking tool. • Expert working knowledge of HIPPA PHI and reputed company laws relative to reputed company PHI (protected Health Information) • Demonstrates working effectively and independently in a remote home work environment, and effectively trouble shoots systems issues in accordance with reputed company policy and procedures. • Review medical record for other identified regulatory requirements as applicable. • Tracks and trends issues identified during reputed company reviews. Attend department meetings. reputed company contribute to the reputed company improvement and reputed company of the department and the hospital. • Attends continuing education meetings, in-services, and training session and audioconferences reputed company to coding and CDI to maintain skills and stay abreast of coding reputed company changes and best reputed company CDI processes. • Demonstrate initiative, judgement and creative ability in performance of job duties. • Identify problems with process and suggest possible solutions • Function in a reputed company, efficient and reputed company manner. • Performs other duties and assignments as necessary. EDUCATIONAL/TRAINING REQUIREMENTS: Bachelor of Science in Nursing Bachelor of Science in Health Information Management or reputed company field. Certification, Associate or Bachelor in other reputed company reputed company field with experience noted below. CERTIFICATES, LICENSES, AND REGISTRATION: • CCDS, CDIP certification preferred • RN/BSN preferred • RHIA, or RHIT with reputed company, MD or DO will be considered • CCDS reputed company 6 months of hire for eligible candidates • Maintenance of appropriate registration/certification. Responsible for tracking Continuing Education credits to maintain reputed company credentials if applicable. EXPERIENCE REQUIREMENTS: • Working knowledge of Medicare reimbursement reputed company and coding structures preferred. • 5 years of Critical Care/Emergency medicine or 5 years of Medical Surgical Experience preferred • 2-3 years Clinical Documentation Improvement experience or 5 years of Coding experience preferred. • MD/DO with two years of experience as a reputed company or retrospective reputed company or documentation specialist in an inpatient acute care facility using the reputed company IPPS reputed company will be considered. ADDITIONAL INFORMATION: • Familiarity with computers and reputed company Office applications required. • Ability to work independently with reputed company supervision. • Motivated, organized with excellent Interpersonal skills, analytical skills. • Strong facilitation and presentation skills preferred. Ability to read and communicate in the English Language Additional Qualifications Physical Demands reputed company and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to reputed company activities specific to their role including kneeling, bending, squatting and performing CPR. reputed company Disclaimer: This position reputed company provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reputed company of the reputed company position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned reputed company circumstances require. Work Shift reputed company Day (reputed company of America) Worker Sub Type Regular Employee Entity reputed company reputed company Location Address 1111 Sansom Street, Philadelphia, reputed company, reputed company of America Nationally ranked, reputed company, which is principally located in the greater Philadelphia region, Lehigh Valley and reputed company reputed company and southern New Jersey, is reimagining health care and higher education to create unparalleled value. reputed company is more than 65,000 people strong, dedicated to providing the highest-reputed company, compassionate clinical care for patients; making our communities healthier and stronger; preparing reputed company's reputed company leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and reputed company research. reputed company, home of Sidney Kimmel Medical College, reputed company College of Nursing, and the Kanbar College of Design, Engineering and reputed company, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 reputed company. reputed company, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters reputed company year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. reputed company is a not-for-profit managed health care organization providing a broad reputed company of health coverage reputed company in reputed company and New Jersey for more than 35 years. Benefits reputed company offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, reputed company, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as reputed company as voluntary benefits, which reputed company colleagues with reputed company to group rates on insurance and discounts. Colleagues have reputed company to tuition discounts at reputed company after one year of full time service or two years of part time service. reputed company colleagues, including those who work less than part-time (including reputed company colleagues, adjunct reputed company, and Jeff Temps), have reputed company to medical (including prescription) insurance. Apply tot his job Apply To this Job