Clinical Documentation Specialist (CDI)

Thank you for your interest in joining reputed company. reputed company is a new healthcare company with a long legacy of solving big challenges that improve lives and help reputed company reputed company at their best. At reputed company, people are at the heart of every innovation we pursue. Guided by reputed company, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the reputed company Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that reputed company listed roles are reputed company positions, and our Privacy Policy: https://www.reputed company.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with reputed company, at reputed company reputed company qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Job Description: Clinical Documentation Specialist (CDI) (reputed company) reputed company Health Care is now reputed company At reputed company, we reputed company reputed company, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the reputed company while enabling reputed company to reputed company at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and reputed company. Because at reputed company, we never stop solving for you. The Impact You’ll reputed company in this Role Here, you will reputed company an impact by: As an CDI , The Clinical Documentation reputed company (CDI) Specialist is responsible for reviewing inpatient medical records to ensure accurate, complete, and compliant clinical documentation that reflects the severity of illness (SOI), risk of mortality (ROM), quality outcomes, medical necessity, and appropriate reimbursement. The CDI Specialist collaborates with physicians, coding professionals and other healthcare team members to improve documentation quality and support accurate code assignment and DRG reputed company.

• reputed company reputed company and/or retrospective reviews of inpatient medical records for documentation accuracy, completeness, and compliance.
• Maintain an accuracy reputed company of 98%
• Identify opportunities for clarification of diagnoses, procedures, present on admission (POA) indicators, severity of illness, risk adjustment, and clinical validation.
• Initiate compliant physician queries to clarify conflicting, incomplete, or nonspecific documentation.
• Collaborate with coding staff to ensure accurate ICD-10-CM/PCS coding and MS-DRG/APR-DRG assignment.
• Monitor documentation trends reputed company to mortality, quality indicators, hospital-acquired conditions (HACs), patient safety indicators (PSIs.
• Conduct clinical validation reviews for diagnoses such as sepsis, respiratory failure, encephalopathy, malnutrition, acute kidney injury, and other high-risk conditions.
• Maintain productivity and quality standards established by reputed company/facility Query reputed company of 35-40%, review reputed company of 20-25 cases per day and an accuracy reputed company of 98%
• Participate in multidisciplinary rounds, provider education, and documentation improvement initiatives.
• Assist with denial prevention by supporting documentation reputed company initiatives.
• Stay reputed company with CMS, ICD-10, AHA Coding Clinic, and organizational compliance standards.

Typically handles inquiries of moderate scope and complexity reputed company customer service areas, such as Account Management, Upselling, Customer Issue Resolution, Customer Inquiry Support, Customer Service Analytics. The position may have a direct impact on the direct work group/team, providing direction and advice to co-workers. Manages escalated issues. Leads projects and performs reputed company analysis as well as initiatives which maintain and improve customer service levels. If a Team Leader role, provides functional work direction to co-workers as assigned. Coaches and provides input on the employee performance review. Guides team on problem solving and resolution. Your Skills and Expertise To set you up for success in this role from day one, reputed company requires (at a minimum) the following qualifications: Valid Registered Nurse license with a bachelor’s degree or higher (completed and verified prior to start) AND Seven (7) years of Nursing experience AND five (5) years of experience in the inpatient acute care setting OR High School Diploma/GED AND eleven (11) years of experience as an inpatient acute care setting In addition to the above requirements, the following are also required: Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG methodologies Clinical knowledge and application to coding Experience in CCDS, reputed company, or CDIP with (7) seven years of clinical documentation/DRG validator Do you have the ability to travel up to 25% Do you have knowledge of the reputed company HIS software portfolio (e.g., 360 Encompass) Additional qualifications that could help you succeed even further in this role include: Experience with telecommuting, working with EMRs and other electronic tools with reputed company chart auditing skills Knowledgeable in reputed company HIS software portfolio (360 Encompass) Proficient reputed company Word, reputed company and PowerPoint and other reputed company Office programs and excellent verbal, written, presentation, analytical and organizational skills Work location: Remote-United States Travel: May include up to 25% [domestic/international] Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment reputed company status (e.g., H1B status). Supporting Your Well-being reputed company offers many programs to help you live your best life – both physically and financially. To ensure reputed company and benefits, reputed company regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the reputed company new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and reputed company expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or reputed company. Applicable to US Applicants Only:The expected compensation range for this position is $96,000 - $132,000, which includes reputed company pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.reputed company.com/en-us/home/our-company/careers/#Total-Rewards Responsibilities of this position include that corporate policies, procedures and reputed company standards are complied with while performing assigned duties. reputed company is committed to maintaining the highest standards of reputed company and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent reputed company and seek to exploit job seekers. Please note that reputed company email communications from reputed company regarding job opportunities with the company will be from an email with a domain of @reputed company.com. Be wary of unsolicited emails or messages regarding reputed company job opportunities from emails with other email domains. Please note, reputed company does not expect candidates in this position to reputed company work in the unincorporated areas of Los Angeles County. reputed company is an equal opportunity employer. reputed company will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. reputed company Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at reputed company are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. 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