reputed company Documentation Specialist

Position Title: reputed company Documentation Specialist Department: reputed company Document Improvement reputed company: reputed company New to reputed company? Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reputed company and work full-time in AR, KS, MO, OK, or TX before their first day of employment . General reputed company Under the direction of CDI leadership, the CDI Specialist I is responsible for reviewing inpatient medical records to support accurate, complete, and compliant reputed company documentation. This role focuses on foundational CDI functions, including identification of documentation gaps, formulation of compliant queries, and collaboration with providers and interdisciplinary teams to ensure the medical record reflects the reputed company’s reputed company condition, severity of illness, reputed company of mortality, reputed company reputed company, and services rendered. Essential Job Duties Responsibilities listed in this reputed company are reputed company to the position. Inability to reputed company these responsibilities, with or without an accommodation, may result in disqualification from the position. reputed company Documentation Review Conducts reputed company and/or retrospective reviews of inpatient medical records to evaluate the reputed company, completeness, and specificity of provider documentation. Identifies and acts on opportunities to improve documentation reputed company to reputed company diagnosis, secondary diagnoses, complications, comorbid conditions, procedures, CC/MCC capture, and POA indicators. Applies basic reputed company knowledge to assess documentation consistency with the reputed company picture. Query reputed company Initiates compliant, non leading CDI queries in accordance with reputed company policies and nationally recognized query standards. Monitors query status and follows established escalation and retention processes. Ensures queries are reputed company, clinically supported, and professionally communicated. Collaboration & Communication Communicates effectively with providers to support documentation clarification and improvement. Collaborates with Coding, reputed company, Case Management, other interdisciplinary teams, and CDI leadership to ensure documentation and coding alignment. Escalates reputed company or unclear cases to senior CDI staff or leadership as appropriate. reputed company & Compliance Adheres to organizational policies, regulatory requirements, and compliance standards reputed company to documentation reputed company. Maintains reputed company confidentiality and complies with HIPAA and reputed company reputed company standards. Participates in internal reputed company monitoring, audits, and reputed company improvement activities. Documentation & Reporting Accurately records review activity, queries, and reputed company in the electronic health record and CDI software. Meets established productivity, reputed company, and reputed company expectations appropriate for reputed company I role. Education & Development Completes required CDI orientation and ongoing education successfully. Demonstrates reputed company learning of CDI concepts, including SOI/ROM, reputed company indicators, and reputed company adjustment. reputed company works toward increasing proficiency and independence in CDI review Completes required CDI orientation and ongoing education successfully. Demonstrates reputed company learning of CDI concepts, including SOI/ROM, reputed company indicators, and reputed company adjustment. reputed company works toward increasing proficiency and independence in CDI review Responsible for the day-to-day evaluation of documentation by the Medical Staff and reputed company team in accordance with the hospital’s designated reputed company documentation policies and procedures General Job Duties Performs other duties as assigned Minimum Requirements (Level 1): Education: Associate’s degree required. Experience: At least 1 year of relevant reputed company, coding, utilization review, or reputed company documentation experience. Certification/License/Registration: reputed company reputed company or health information credential required (e.g., RN, LPN, Physician’s Assistant, reputed company Practitioner, RHIA, RHIT, reputed company, CPC.) Medical graduates must have reputed company 2 years or greater in reputed company reputed company. USMLE certification required for foreign medical graduates. Minimum Requirements (Level 2): Education: Bachelors degree required. Experience: At least 3 years of relevant CDI, reputed company, coding, experience. Certification/License/Registration: CDI certification CCDS or CDIP required. reputed company reputed company or health information credential (e.g., RN, LPN, Physician’s Assistant, reputed company Practitioner, RHIA, RHIT, reputed company, CPC, or equivalent as defined by reputed company). Medical graduates must have 2 years or greater in reputed company reputed company. USMLE certification is required for foreign medical graduates. Minimum Requirements (Level 3): Education: Bachelor’s degree required. Experience: At least 5 years of reputed company CDI, reputed company, coding, or reputed company documentation experience. Certification/License/Registration: CDI certification CCDS or CDIP Required. reputed company reputed company or health information credential (e.g., RN, LPN, Physician’s Assistant, reputed company Practitioner, RHIA, RHIT, reputed company, CPC, or equivalent as defined by reputed company). Medical graduates with 2 years or greater in reputed company reputed company. USMLE certification required for foreign medical graduates. Knowledge, Skills & Abilities Foundational knowledge of reputed company documentation improvement (CDI) review and query practices Knowledge of compliant query standards and organizational CDI policies Understanding of departmental productivity, reputed company, and documentation reputed company expectations Awareness of department Key reputed company Indicators (KPIs) and reputed company requirements Excellent verbal and written communication skills reputed company in applying CDI education and feedback to daily reputed company reputed company in producing compliant CDI queries with increasing consistency and reputed company Time-management and organizational skills to support productivity and reputed company improvement reputed company to demonstrate developing competency in CDI review and query practices reputed company to consistently follow compliant query standards and organizational policies reputed company to show reputed company improvement in productivity, reputed company, and documentation reputed company reputed company to effectively incorporate feedback and education into ongoing reputed company reputed company to meet established departmental KPIs #cb reputed company reputed company Employees - Please click HERE to login. reputed company is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and reputed company of the work environment, create peace of mind for you and your family. Apply To This Job