CDI Specialist

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Type: Contract
Pay: Apply For Details
Location: Remote

IP CDI

6 month assignment

Productivity metrics is 24 patients which includes initial and concurrent reviews and query rate percentage goal 30%

Mortality Patients

PSI/HAC identify exclusions

Understand quality metrics

Query escalation process

EPIC and 360/Solventum

Facility is not patient specific so each CDI will see a wide variety of different type of patients. Facility does not review mother/baby, workers comp, HIP, obs, or charity cases

Provides thorough concurrent review of medical record clinical documentation to capture documented and potential principal diagnosis, secondary diagnoses and procedures affecting DRG assignment and profiling outcomes. Queries the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports DRG assignment and the severity of patient illness and risk of mortality.

Qualifications

Minimum Education: High School Diploma or Equivalent

Minimum Years of Experience: 3 Years of Clinical Experience in an Acute Care Setting

Certification from either AAPC (Certified Documentation Expert – Inpatient CDEI), ACDIS (Certified

Clinical Documentation Specialist (CCDS), or AHIMA (Certified Documentation Improvement

Practitioner (CDIP).

Job Description

Duties and Responsibilities (High-level summary of activities encompassed by job code within organization)

1 . Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical Records coder to identify principal diagnosis options, secondary diagnoses and procedures, to assign working DRGs for identified populations. 

2.   Conducts initial and extended-stay concurrent reviews on all selected admissions and documents findings denoting all key information utilized in the tracking process.

3.   Identifies need to clarify documentation in records. Utilizes strong communication skills with physician, physician extender, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation. Works collaboratively with the healthcare team to facilitate documentation within the medical record that supports patient's severity of illness and risk of mortality.

 4. Maintains complete confidentiality of patient information, in addition to hospital and individual physician practice pattern data.

5. Performs all other duties as assigned.

Job Id: a1sVb000005Un3dIAC

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