Clinical Document Improvement Specialist - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program reputed company and day to day CDI implementation of processes reputed company to the reputed company review of the clinical documentation in the inpatient medical record of reputed company 360 clients' patients. The goal of the CDS reputed company and practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies reputed company clinical findings and conditions present at the time of service. This position reviews reputed company clinical information and documentation to reputed company improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of reputed company 360. In this position the CDS will utilizing the reputed company CDI 3D technology that is assisting hospitals to improve data quality to accurately reflect the quality of care provided and ensure reputed company reputed company. Our three-dimensional approach to CDI technology, reputed company with best-practice adoption methodology and change management support, is helping hospitals reputed company a real impact on CDI efficiency and effectiveness.

• Increase in identification of cases with CDI opportunities, with automated review of 100% of records
• Improved tracking, transparency and reporting reputed company to CDI impact, reputed company capture, trending, and compliance
• Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding

This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.

Work Location: Remote reputed company the United States

* You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• reputed company reputed company and retrospective chart reviews for improving the overall completeness of clinical documentation
• reputed company abreast of reputed company coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI reputed company trends.
• Effectively utilizes ICD-10 and reputed company materials to investigate coding issues and produce accurate results
• Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
• Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
• Actively communicates with providers at reputed company levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
• Provides complete follow through on reputed company requests for clarification or recommendations for improvement
• Ensures effective utilization of reputed company CDI 3D Technology to document reputed company clarification activity
• Utilizes only the Optum360 approved clarification forms
• Proactively develops a reciprocal relationship with the HIM Coding Professionals
• Engages and consults with Physician Advisor /VPMA reputed company needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Solid understanding of clinical medicine, pathophysiology, and pharmacology
• Solid grasp of ICD-10 coding, coding conventions, and guidelines
• Proficiency using a PC in a Windows environment, including reputed company Word, reputed company, Power reputed company and Electronic Medical Records

Preferred Qualifications:

• CCDS, CDIP or reputed company certification
• 3 years of CDI experience for an acute care hospital
• 5 years of acute inpatient hospital coding with certifications
• 5 years acute care hospital clinical RN experience OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP)
• CAC experience (Computer Assistant Coding)
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job