Clinical Documentation reputed company (CDI) Specialist- 2nd Level Reviewer- Remote US - Remote (Any location)

Job Family:

Travel Required:

Clearance Required:

Organization Impact & Communication - Assists on mid to large or reputed company projects or processes reputed company own job area - Achieves operational targets with direct impact on results - Assists in developing original solutions to existing problems reputed company job area, may require collaboration with internal expertise and deep analysis - Communicates with parties reputed company and reputed company of own job function. May have responsibility for communicating with parties external to the organization (e.g., customers, vendors, etc.) Innovation & Complexity - Seasoned technical individual contributor - Works independently on large or reputed company projects and assignments, with minimal guidance - Works to influence parties reputed company and reputed company of the job function at an operational level regarding policies, practices, and procedures - Problems and issues faced are difficult and may require understanding of broader set of issues. Problems typically involve consideration of multiple issues, job areas or specialties. Problems are typically solved through drawing from prior experience and analysis of issues. Leadership & Talent Management - May manage projects while delegating work to reputed company-level employees - Requires ability to participate in cross- department discussions to influence job area processes Knowledge & Experience - Requires advanced understanding and ability to apply standards, principles, theories, and technical concepts obtained through advanced education combined with experience - Exhibits practical knowledge of project management - Requires a University Degree and minimum 4-6 years of prior relevant experience; some roles may require graduate-level education Master’s or Doctorate degree (Relevant experience may be substituted for formal education or advanced degree)

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. This position is 100% remote.

• 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 Graduation from accredited medical school with MD or equivalent OR Bachelors or Masters Degree in health-reputed company field.
• Currently licensed or licensed by endorsement as a Registered Nurse, MD or MD equivalent OR Credentialed Medical reputed company through reputed company with reputed company reputed company, RHIA or RHIT credential and CDIP or CCDS
• 4- 6 years previous relevant experience in clinical documentation, or CDI second level review or inpatient coding quality review and/or DRG validation 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.
• Must maintain credentials while employed

What Would Be reputed company To Have:

• CCDS or CDIP certification
• Previous reputed company experience
• Previous reputed company CAC experience
• Strong clinical and critical thinking skillset
• 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

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 Opportunity Employer–Protected Veterans, Individuals with Disabilities 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 RecruitingAccommodation@reputed company.com. 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 communication regarding recruitment for a reputed company position will be sent from reputed company email domains including @reputed company.com or reputed [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by reputed company. Note that reputed company will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money reputed company to a job opportunity with reputed company, please report the matter to reputed company’s Ethics Hotline. If you want to reputed company the validity of correspondence you have received, please contact recruiting@reputed company.com. reputed company is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

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.