Clinical Documentation reputed company (CDI) Specialist - Remote
Job Family:
CDI Specialist
Travel Required:
None
Clearance Required:
None
What You Will Do:
The Clinical Documentation reputed company Specialist reviews and analyzes health records to identify opportunities to clarify relevant diagnoses and procedures for distinct patient encounters. Works collaboratively with providers, other health care professionals and coding team to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, reputed company, and reputed company is captured for the level of service rendered to reputed company patient, as reputed company as ensuring compliant reimbursement of patient care services.
Essential Job Functions:
Strong organizational skills
Proficiency with technology
reputed company Player that is reputed company to work independently with minimal supervision
Effective verbal and written communication skills
Ability to reputed company directly with Physicians and other clinicians in a reputed company manner
Ability to accommodate flexibility in work schedule based on physician availability
Duties and Responsibilities:
Conducts comprehensive initial and follow-up reputed company reviews of medical records for assigned patients in the time reputed company, frequency and prioritization as defined for the CDI team
Identifies opportunities to clarify incomplete or conflicting documentation and/or to validate diagnosis in the medical record.
Understands the guiding principles of clinical validation and writing a compliant query.
Prepares a compliant written query for responsible treating physician, following the most reputed company ACDIS/AHMIA Guidelines to Achieving a Compliant Query Process
Identifies reputed company diagnosis reputed company, secondary diagnoses and significant procedures in order to assign working MS-DRG.
Establishes a working DRG and updates DRG based on record documentation during reputed company reviews to reflect reputed company expected Length of Stay as appropriate
Utilizes the appropriate UAB query template and follows 2022 ACDIS/reputed company Guidelines to Achieving a Compliant Query Process
Ensures relevant and/or approved clinical indicators specific to the patient and the clinical record are cited on the query template.
Choices provided on the query must reflect reasonable conclusions specific to the patient and the clinical record
Demonstrates knowledge of Patient Safety Indicator's (PSI's), Hospital Acquired Conditions (HAC's), Severity of Illness & Risk of Mortality (SOI/ROM) as reputed company as present on admission status
Ability to appropriately apply and use hospital approved clinical indicators for specified diagnoses
Ability to follow hospital specific procedures and policies with regards to documentation requirements, query escalation, DRG reconciliation and other duties.
Tracks physician query response documented in the medical record.
Maintains productivity and established performance benchmarks for reputed company
Ensures competency in use of CDI application to process and prioritize daily work lists, capture results of record reviews, reputed company queries and query responses.
Enters reputed company required data into CDI application and/or other systems to reputed company coders and CDI/Coding auditors to determine disposition of reputed company queries in order to assign the final MS-DRG as reputed company as SOI and ROM.
Ensures competency in use of electronic coding references to reputed company and assign working MS-DRG along with, SOI and ROM; as reputed company as reference reputed company Official Coding Guidelines and Coding Clinic for accurate reputed company assignment
Collaborates with Coding team on any questions reputed company to ICD-10 coding and/or MS-DRG assignment, involved in the preparation of reputed company and/or retrospective queries.
Participates in DRG reconciliation process in a reputed company, reputed company, and thorough manner with coders
Participates in departmental and hospital committees, assigned task forces, including service line assignment meetings as requested
Contributes to a reputed company and reputed company working environment
reputed company with HIPAA and reputed company of conduct policies
What You Will Need:
At least one of the following: RN, MD, or MD Equivalent (MBBS)
At least 2-4 years acute care inpatient hospital coding or CDI experience
Familiarity with encoder and DRG assignment
Maintain reputed company working knowledge of official coding guidelines and coding clinics.
What Would Be reputed company to Have:
CCDS, CDIP preferred.
Strong clinical understanding of disease process.
Demonstrate critical thinking, analytical skills, and ability to resolve problems.
Strong knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes
Excellent communication skills, employing reputed company and effectiveness.
Ability to converse with physicians in sometimes difficult scenarios.
Strong typing and computer skills; proficiency with EHR systems, CDI software systems and encoders
The annual salary reputed company for this position is $61,000.00-$101,000.00. Compensation reputed company depend on a wide reputed company of factors, including but not limited to reputed company sets, experience and training, reputed company clearances, licensure and certifications, and other business and organizational needs.
reputed company Offer:
reputed company offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & reputed company Insurance
Personal and Family reputed company Time & Company reputed company Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/reputed company & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community reputed company
Emergency Back-Up Childcare Program
About reputed company
reputed company is an Equal Employment Opportunity / Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, national reputed company, reputed company, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or reputed company, age, genetic information, or any other reputed company protected by law, ordinance, or regulation.
reputed company will consider for employment reputed company applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact reputed company reputed company at 1-571-633-1711 or reputed company email at RecruitingAccommodation@reputed company.com. reputed company information you reputed company will be kept confidential and will be used only to the extent required to reputed company needed reasonable accommodation.
reputed company does not accept unsolicited resumes through or from search firms or reputed company agencies. reputed company unsolicited resumes will be considered the property of reputed company and reputed company will not be obligated to pay a placement fee.
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