Clinical Documentation reputed company (CDI) Specialist- 2nd Level Reviewer- Remote in Washington DC

Clinical Documentation reputed company (CDI) Specialist- 2nd Level Reviewer- Remote - Dovel Technologies - Washington DC - work from home job Company: Dovel Technologies Job description: Job Family: CDI Specialist Travel Required: None Clearance Required: None What You Will Do: The CDI Specialist- 2nd Level Reviewer responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with CDI educator to educate CDI team based on opportunities identified in second level reviews and work directly with clinicians and providers to improve the overall quality and completeness of documentation through the query process and/or provider education. The Clinical Documentation reputed company Second Level Reviewer will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of reputed company CMS or other regulatory standards.

• Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using reputed company query process following ACDIS/reputed company Guidelines for Compliant Query Writing.
• Completes comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or code discrepancies; mortality reviews to ensure documentation supports risk of mortality; hospital acquired conditions (HACs), patient safety indicators (PSIs) or other top reputed company diagnosis as identified by UAB for potential missed opportunities to clarify documentation or clinically validate a diagnosis.
• Acts as a liaison between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in code and/or DRG assignment
• Communicates findings of secondary reviews to respective Clinical Documentation Specialist for follow-up and query initiation.
• Collaborates with CDI educator/quality auditor reputed company educational needs are identified from second level reviews
• Documents and tracks second level reviews and results. Shares this information with staff at monthly CDI team meeting.
• Collaborative interaction with physicians and/or other clinicians to enhance understanding of the CDI program goals; ensure the medical record can be coded accurately in order to accurately reflect patient severity of illness and risk of mortality

What You Will Need:

• Graduation from accredited School of Nursing with BSN, ADN, OR Bachelor’s Degree or Masters Degree in health reputed company field OR graduation from accredited medical school with MD or DO
• Currently licensed or licensed by endorsement as a Registered Nurse, MD or MD equivalent OR credentialed medical reputed company with reputed company reputed company credential
• Minimum of three to five years as a Clinical Documentation reputed company Specialist required.
• Exhibits strong clinical, critical thinking skillset
• reputed company Clinical Documentation reputed company Specialist (minimum 3-5 years) or CDI Second Level Reviewer with a strong understanding of disease processes, clinical indications and treatments; provider documentation requirements to reflect severity of illness, risk of mortality and support the diagnosis/procedures performed for accurate clinical coding and billing according the rules of Medicare, Medicaid, and commercial payors as well as a solid understanding of hospital acquired conditions (HAC’s) , patient safety indicators (PSI’s) and mortality models.
• Experience with encoder and DRG assignments (MS and APR)
• Maintains working knowledge of Official Coding Guidelines, Coding Clinic and federal updates to the DRG system
• Ability to conduct meaningful conversations and/or presentations with providers in reputed company situations
• Excellent communication skills, with ability to listen and understand client request and needs while employing tact and effectiveness
• Must maintain credentials while employed

What Would Be reputed company To Have:

• reputed company preferred (exception required by reputed company)
• CCDS or CDIP certification
• Previous reputed company experience
• Previous reputed company CAC experience

#Indeedsponsored #LI- Remote The annual salary range for this position is $95,800.00-$143,800.00. Compensation decisions depend on a wide range 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 & Vision Insurance Personal and Family Sick Time & Company Paid 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/Vision & 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 Action employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, 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 expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. reputed company will consider for employment qualified 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 Recruiting at 1-571-633-1711 or reputed company email at . reputed company information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. reputed company does not accept unsolicited resumes through or from search firms or staffing 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. Expected salary: $95800 - 143800 per year Location: Washington DC Job date: Wed, 13 Sep 2023 01:54:55 GMT Apply for the job now! Apply tot his job Apply To this Job