CDI Specialist - 100% Remote

Pay: Commensurate to Experience

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MUST have the below – No exceptions.

• 2 Years Experience in a CDIS - Clinical Documentation Integrity Specialist role.

MUST have ONE:

• CCDS certification – Certified Clinical Documentation Specialist
• CDIP certification – Certified Documentation Improvement Practitioner

MUST have ONE:

• BSN – Bachelors of Nursing
• RHIT certification – Registered Health Information Administrator
• CCS certification – Certified Coding Specialist
• CCS-P certification – Certified Coding Specialist- Physician-based
• RN - Registered Nurse
• International or Domestic Medical program such as International Doctors ect..
• Associates Degree or higher with a focus in Medical programs that include Medical terminology

Additional Experience:

• Computer experience in Microsoft Office applications such as Word Excel Powerpoint.
• Previous experience with external accrediting bodies (e.g. NCQA JCAHO) helpful.
• Knowledge of Medicare and Medicaid guidelines and understanding of managed care and commercial review experience preferred.
• Experience in developing and implementing new processes services or business lines preferred.
• One year external payer auditing required; preferably with CMS In-patient auditing (Recovery Audit Contractor Auditing and/or Clinical Validation auditing.).
• Experience Cerner Midas Epic and Optum along with experience with Advisory Board products (i.e. Crimson Compass) preferred

Organizational Relationships:

This position reports directly to the Enterprise Operations Clinical Documentation Integrity (CDI) Administrator to support Enterprise CDI efforts. Works collaboratively with Enterprise CDI Physician Advisor CDI Nurses Coding Staff/Leadership Revenue Analysts and various support staff as directed by supervisor.

Position Overview: The CDI/Coding Quality Specialist works collaboratively as a subject matter expert to the Enterprise Operations Administrator providing assistance based on the vision mission philosophy and our core values through various projects ensuring appropriate clinical documentation/coding measures are present along with ensuring quality metrics are being utilized.

The CDI/Coding Quality Specialist assures compliance with external and internal measures for the CDI Program assisting in review of reports such as PEPPER CMI benchmarking and other pertinent regulatory data.

The CDI/Coding Quality Specialist identifies areas of improvement for the CDI program ensuring quality work is being performed. The CDI/Coding Quality Specialist will work to identify and share updates related to Coding Guidelines OIG updates and AHA Coding Clinic changes (Annual/Quarterly) as they relate to Clinical Documentation Integrity. Additionally the CDI/Coding Quality specialist will participate in reviewing researching and identifying trends and opportunities of DRG changes/denials.. May be asked to assist in development of teaching tools for both physicians and CDI staff members and perform pre-bill retrospective chart review on focus projects.

Must be self-motivated and able to work as part of a team with minimal supervision. Must possess the ability to work well within a creative and challenging work environment.

CONTRACT-TO-PERM HIRE

Job Type: Full-time

Pay: $98,431.00 - $120,354.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Clinical documentation improvement: 2 years (Required)

License/Certification:

• CCDS (Preferred)
• CDIP (Preferred)

Work Location: Remote

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