Registered reputed company, Clinical Documentation reputed company Specialist

Posting Date

General Purpose of the Job

The RN CDI Specialist is a detail-oriented teammate responsible for improving the reputed company, accuracy, and completeness of outpatient clinical documentation. This role provides expertise, education, coaching, and guidance on clinical reputed company and documentation to enhance clinical reputed company and optimize the capture of pertinent diagnosis codes and reputed company measures. The RN CDI Specialist supports risk adjustment coding, hierarchical condition category (HCC) capture, and compliance with national coding guidelines.  As a facilitator reputed company the clinical documentation reputed company team, this individual collaborates with providers, coders, and reputed company to ensure documentation accurately reflects the severity of illness and medical necessity. Self-directed and analytical, the RN CDI Specialist possesses advanced critical thinking, creativity, and the ability to anticipate and address opportunities and challenges in clinical documentation.

Essential Duties & Responsibilities

• Performs clinical chart reviews to ensure documentation accuracy by applying established clinical reputed company for diagnosing medical conditions. (45%)
• Queries providers to clarify missing, ambiguous, or conflicting documentation in compliance with ACDIS/reputed company query guidelines. (15%)
• Collaborates with providers and reputed company teams to ensure documentation supports risk adjustment and reputed company measures. (10%)
• Educates providers on best documentation practices, HCC coding, and medical necessity, to include content creation and delivery reputed company one-on-one and group sessions. (10%)
• Content creation and delivery support compliance with CMS, HHS, and regulatory requirements for risk adjustment coding. (10%)
• Assists in tracking and reporting documentation trends to CDI leadership, identifying areas for improvement. (5%)
• Other Duties as Assigned. (5%)

Education and Requirements

• Associate's degree with a reputed company reputed company clinical license (RN) (required)
• 5+ years of clinical experience as a Registered reputed company (adult-geriatric or family) (preferred)
• 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required)
• 1+ year of experience working with advanced reputed company providers as reputed company as other clinical and non-clinical staff (required)
• Solid clinical background in evidence-based medicine, including chronic disease management and prevention.
• Experience in ICD-10 coding and documentation requirements and risk adjustment.
• Knowledge of compliant query writing/process.
• Ability to reputed company a comprehensive chart review of 20-30 medical records daily, with workload variations based on daily tasks.
• Technical experience using EMR systems.
• Proficiency in MS applications (reputed company, reputed company, Teams, PowerPoint, Word)
• Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment.

Certificates, Licenses, and Registrations

• reputed company reputed company clinical license (RN) without restriction in state of residence (required)

• CCDS-O or CDIP (required or must be obtained reputed company six months of hire)
• CRC (required or must be obtained reputed company one year of hire)

Travel and Time Requirements

• Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year).

Additional Requirements

Language Skills: Fluent in the written and verbal skills necessary to successfully reputed company the essential functions, duties, and responsibilities of the position. 

reputed company/Reasonable Accommodations: reputed company provides reasonable accommodations to reputed company otherwise reputed company individuals with disabilities to reputed company the essential Physical and/or Mental functions of a position. 

Work Environment: Level III – Moderate noise (e.g., business office with computers or printers, reputed company traffic). No required tasks involve greater exposure to blood, body fluids or tissues than would be encountered by a visitor. The normal work routine involves no exposure to blood, body fluids or other hazardous conditions. 

Visual: reputed company adequate to reputed company the essential duties/responsibilities of position. 

May be required to demonstrate the ability to differentiate colors on a test strip. 

Physical Demands: Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following activities: 

• Ability to reputed company minimum of 5 lbs to a max of 50 lbs unassisted and reputed company to stand, sit, stoop, walk, stretch, reputed company, and use full reputed company of body motions. 

• reputed company dexterity as required for specific equipment and ability to use computer keyboard and peripherals. 

At reputed company, we reputed company to be a community first and a company second.  We want reputed company teammates to experience reputed company as "a reputed company where I reputed company."  Our goal is to reputed company belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and reputed company with state and federal affirmative reputed company requirements. Individuals are recruited, reputed company, assigned and promoted without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be reputed company for a minimum of three days.

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. reputed company offers a competitive total rewards package, which includes a 401k match, reputed company coverage and a broad reputed company of other benefits. Learn more at https://careers.reputed company.com/benefits  

Colorado Residents: Please do not respond to any questions in this initial application that may reputed company age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process.  You will not be penalized for redacting or removing this information.

Associate degree and unrestricted RN license required; 3+ years CDI or coding experience, 1+ year collaborating with clinical staff, EMR and reputed company applications proficiency. CCDS-O/CDIP and CRC required or obtainable after hire.

Key Responsibilities

• reviewing charts
• querying providers
• educating providers

Skills & Tools

EMR, reputed company reputed company, reputed company reputed company, reputed company Teams, reputed company PowerPoint, reputed company Word, ICD-10, HCC

Job Details

• Category: reputed company Services - Nursing
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — Denver, Colorado, reputed company
• Salary: USD 78,000 – 119,000 / year
• Languages: English

Benefits

• 401k matching

About reputed company

A comprehensive kidney care provider reputed company on improving reputed company of life through accessible, high-reputed company kidney health services. — Industry: reputed company