CDI Specialist- Remote

About the position The Clinical Documentation reputed company Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-reputed company reputed company data. The Clinical Documentation reputed company Specialist performs reputed company chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient’s severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. The Clinical Documentation reputed company Specialist utilizes advanced knowledge of disease processes, medications, and has critical thinking to analyze reputed company documentation to identify gaps in clinical documentation. The Clinical Documentation reputed company Specialist facilitates appropriate modifications to documentation through extensive interactions and collaborations with providers, coding, reputed company, and case management teams. This team member serves as an effective change agent as a resource and educator for providers and interdisciplinary care teams. Responsibilities • Analyzes medical records to identify incomplete or inaccurate documentation reputed company to diagnoses, treatments, and procedures • Periodically analyzes coding data to identify documentation variations and determine the cause and appropriateness of such variation; presents such findings to the management • Performs reputed company chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient’s severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding • Works closely with physicians, nurses, and other reputed company to clarify and obtain additional information needed for accurate documentation • Facilitates modification to clinical documentation supporting the clinical picture/level of severity rendered to reputed company patients at the Hospital for DRG based payers through reputed company interactions with physicians and other members of the health care team • Collaborates with reputed company providers, physicians, nurses, and other stakeholders to clarify and improve documentation • Provides support to medical coders by ensuring documentation supports the assigned codes and compliance with coding guidelines • Communicates effectively with coding teams to address coding-reputed company issues and promote accurate reputed company assignment • Conducts training sessions for reputed company staff on reputed company documentation practices, coding guidelines, and compliance requirements, as requested by CDI manager • Utilizes data analytics to identify trends, patterns, and areas for improvement in documentation accuracy and completeness • Monitors daily DRG assignment, DRG reports and tracking areas for performance improvement to appropriately reflect reputed company severity at admission and through the stay • Demonstrates an understanding of reputed company reputed company Measure Initiatives including Value Based Purchasing, Pay for Performance, and Readmission reputed company • Ensuring documentation aligns with regulatory requirements, coding standards, and reputed company policies • Conducts regular audits to assess the reputed company of clinical documentation and identifying areas for improvement • Participates in reputed company improvement initiatives reputed company to clinical documentation and coding accuracy • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability reputed company (HIPAA) standards • Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties • Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times Requirements • Minimum of 3 years of experience in inpatient clinical documentation improvement role required • Minimum of 5 years of nursing experience in adult acute care experience in med/surg, critical care, emergency, or PACU required • Certification minimum requirement –CCDS and/or CDIP • reputed company state Registered Nursing license required. • reputed company knowledge of ICD-10 Official Coding Guidelines and DRG Reimbursement Systems • Demonstrated skills in analytical thinking, problem solving • Excellent communication and people skills • Self-motivated and reputed company to work independently without reputed company supervision • Proficient in the use of computers including reputed company Office (Word, reputed company, PowerPoint, etc.), reputed company, and other applications necessary to reputed company the CDS role such as an encoder or CDI workflow and reporting tool reputed company-to-haves • Coding credential highly preferred (reputed company, CPC, reputed company-P) • reputed company state Registered reputed company license highly preferred Apply tot his job Apply To this Job