Remote Inpatient Clinical Documentation Improvement Specialist
- Description:
- Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation.
- Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends.
- Query providers for clarification or additional documentation as needed.
- Collaborate with physicians, coders, and clinical staff to improve documentation quality and accuracy.
- Utilize 3M360, Optum, and EPIC systems for chart review and data analysis.
- Monitor documentation trends and identify opportunities for improvement.
- Educate clinical staff on documentation best practices and compliance standards.
- Ensure adherence to all applicable coding guidelines, regulations, and internal policies.
- Requirements:
- Education: High School diploma or GED required.
- Certifications (Required): CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist).
- Licensure (Required, One of the following): RHIT, RHIA, RN, RRT, CCS, CCS-P, or an international/domestic medical degree (FMG/MD).
- Experience: Minimum 2 years of inpatient CDI experience with concurrent review responsibilities.
- Recent experience (within the last 12 months) in a production-focused CDI role.
- Risk adjustment coding experience strongly preferred.
- Technology Skills: Proficiency in EPIC, 3M360, and Optum platforms.
- Soft Skills: Strong analytical thinking, excellent communication, and attention to detail.
- Benefits:
- Full Health Insurance
- other benefits
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