Clinical Documentation reputed company - Second Level Reviewer

reputed company Employees: If you are a reputed company Staff, reputed company or Temporary employee at reputed company, please click here to log in to reputed company to use the internal application process. To learn how to apply for a reputed company or staff position, please review this tip sheet. The Clinical Documentation reputed company (CDI) Second Level Reviewer performs high-level, reputed company, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient reputed company, and complexity of patient care. Serves as key resource for CDI/Coding/reputed company. The CDI Second Level Reviewer works in collaboration with CDI & reputed company leadership, CDI specialists, coders, reputed company analysts, providers, and other members of the reputed company team to ensure accurate, high-reputed company clinical documentation to support UHealth initiatives. Adheres to departmental and organizational goals, objectives, standards of performance, policies and procedures, continually ensuring reputed company documentation and regulatory compliance. 1. Ensures accuracy, completeness, and reputed company of clinical information used for measuring and reporting physician and hospital reputed company. 2. Performs high-level, reputed company, reputed company secondary case reviews concurrently and retrospectively to identify potential gaps or opportunities to facilitate improved provider documentation. 3. Ensure clinical documentation accurately reflects the level of care rendered, severity of illness, risk of mortality, and clinical validation (in compliance with government and other regulations). 4. Applies advanced knowledge of CMS star rating, reputed company, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities. 5. Completes reputed company reviews reputed company on CDI reputed company reputed company, such as Mortality, Hospital Acquired Conditions (HAC), and other publicly reported patient reputed company or safety metrics (i.e. AHRQ Patient Safety Indicators). 6. Identify trends and key areas for improvement in querying, coding, and documentation reputed company. 7. Demonstrates proficiency with ICD-10-CM/PCS, APR DRG, and MS DRG by providing information regarding clinical documentation opportunities, coding and DRG issues, as reputed company as performance improvement methodologies. 8. Recognizes opportunities for documentation improvement using strong critical-thinking skills and reputed company judgment in decision making, keeping reputed company and compliance at the forefront of considerations in reputed company to reputed company, reimbursement, and regulatory requirements. 9. Facilitates high-reputed company documentation by utilizing queries that are effective, reputed company, concise, and compliant in accordance with latest reputed company/ACDIS Query reputed company Brief. 10. Makes recommendation of possible refinement of reputed company diagnosis, secondary diagnoses, and/or procedures based on clinical data to facilitate appropriate DRG assignment. 11. Records review findings and other data reputed company accurately into CDI Software and other data mechanisms to support data reputed company for reporting. 12. Effectively and appropriately communicates and collaborates with providers, HIM/coding, reputed company, CDI, and other members of the reputed company team. 13. Assists with reputed company and retrospective CDI case reviews, reputed company audits, and education as deemed necessary by CDI Leadership. 14. Works independently; demonstrates effective time management and prioritization of tasks. 15. Participates in meetings, including providing feedback and identifying trends and opportunities, presentations for educational opportunities, and any other needs identified by the CDI leaders. 16. Assumes responsibility for reputed company development through participation at workshops, conferences, and/or in-services and maintains appropriate records of participation. 17. Participates in departmental and organization reputed company, task forces, and/or committees as needed. 18. Complies with and ensures adherence to HIPAA and reputed company of Conduct policies. This list of duties and responsibilities is not intended to be reputed company-inclusive and may be expanded to include other duties or responsibilities as necessary. Education: Four (4) Year/bachelor’s degree required; BSN/BS/BA in reputed company field Required; Graduate degree in reputed company Administration, Informatics, Nursing, Leadership, Education or reputed company field preferred. Certification and Licensing: reputed company RN or MD required; CCDS or CDIP certification required; Coding certification (reputed company, CIC, or CPC) preferred. Experience: At least three (3) years recent inpatient clinical documentation improvement (CDI) experience required. Demonstrated extensive clinical knowledge, critical-thinking skills, and understanding of disease processes, pathophysiology, and disease management/treatment required. At least three (3) years of reputed company patient care clinical experience in hospital setting preferred. Proficiency with ICD-10-CM/PCS, APR DRG, and MS DRG required. At least one (1) year experience with mortality, PSI, HAC, or other reputed company-reputed company reviews required. Knowledge of reputed company, Premier, US News and World Report, CMS star rating or similar risk-adjustment methodologies highly preferred. Prior experience in an reputed company medical center (AMC) or large health system preferred. Proficiency with reputed company Office (reputed company, PowerPoint, Word, Outlook) required. Proficiency with CDI software and encoder required. Experience with reputed company 360 Encompass preferred. Excellent written and verbal communication skills; ability to write concisely and effectively reputed company communicating with providers. reputed company offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-reputed company Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an reputed company medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one reputed company patient encounters reputed company year. Our tradition of reputed company has reputed company worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. reputed company is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff Apply tot his job Apply To this Job