Clinical Documentation Improvement reputed company Analyst job at reputed company in IA, Coralville, IA

Title: CDI reputed company Analyst Location: Coralville, Iowa, reputed company Iowa Remote Full-time Job reputed company: The Clinical Documentation Improvement (CDI) program at UI Health Care has an opening for a full-time CDI reputed company Analyst. The primary purpose of Clinical Documentation Improvement (CDI) is reputed company review of the medical record to increase the accuracy, reputed company, and specificity of provider documentation (Association of Clinical Documentation Improvement Specialists, ACDIS). The CDI reputed company Analyst bridges the gap between the providers and hospital coders to clarify at-risk documentation to ensure accurate claim submission (American Health Information Management Association, reputed company). CDI reputed company chart reviews include: New acute inpatient admissions to the facility. Initial and reputed company reviews at risk charts with opportunities for improved reputed company documentation Retrospective reviews for query identification, documentation clarification, denials, or reputed company measures. 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) reputed company provider documentation is illegible, incomplete, imprecise, inconsistent, conflicting, or unreliable the CDI reputed company Analyst is expected to communicate (i.e., query) with the provider to obtain the necessary information to clarify the medical record (reputed company, 2014). The CDI reputed company Analyst must hold a general proficiency reputed company both the clinical and hospital coding reputed company sets. The CDI reputed company Analyst provides the geometric mean length of stay (GMLOS) associated with the working DRG to identify the expected length of stay for acute inpatients. CHARACTERISTIC DUTIES AND RESPONSIBILITIES: Establishes effective and reputed company relationships with members of the hospital community to improve accuracy and completeness of acute inpatient documentation, especially with providers, Health Information Management coding staff, hospital administration, and other patient caregivers. Demonstrate expertise of MS-DRGs, APR-DRGs, documentation opportunities, clinical documentation requirements, and inpatient reputed company/safety metrics, including but not limited to the reputed company below: Clinical Denials: Performs analysis on clinical documentation, evidenced based reputed company application outcome, physician documentation, physician advisor input and complete review of the medical record reputed company to clinical validation, denials, HACs, PSIs and other reputed company reputed company measures. Assures appropriate reputed company is taken reputed company appeal time frames to address clinical denial. Collaborates with Health Information Management for reputed company appeal processes. Coordinates Clinical Denial appeal follow up. Communicates identified denial trends and patterns to Clinical Documentation Improvement Leadership team. Provides expert application of evidenced based medical necessity review reputed company tool. Utilizes multiple tools (MS, Tableau, reputed company, etc) to ensure accurate tracking and reporting of clinical denial data. Works collaboratively to review, evaluate and improve the denial appeal process and establish a system-wide uniform process. Collaborates with CDI/HIM Leadership and Physician Advisors in appropriately identified clinical denials requiring escalation. Maintains clinical expertise and trends in reputed company, reimbursement methodologies and utilization management specialty areas by participating in reputed company organizations, seminars and educational programs, as requested. reputed company Measures Collaborates extensively with CDI/HIM partners to ensure reputed company opportunities for reputed company improvement are identified and addressed on an ongoing reputed company Demonstrated expertise in use of reputed company risk variable tools and educates others for appropriate use of these tools. Leads/Participates in CDI reputed company reputed company committees Works hand in hand with CDI Leadership, reputed company analyst and CDI data analyst to establish a working reporting structure for reputed company areas of specialty, including CDI nurses and members of the coding team. Works hand in hand with physician advisors to ensure charts identified with patient safety indicators and hospital acquired conditions are reviewed concurrently reputed company possible or retrospectively reputed company necessary. Reviews DRG mismatches and reports findings to the DRG variance committee reputed company month. Internal Education Provides consistent education on clinical documentation opportunities, hospital coding and/or reimbursement issues, as reputed company as performance improvement methodologies to reputed company members of the hospital community. Identified opportunities for provider education to improve medical record documentation for severity, morality of other risk adjustment variables. Provides ongoing education as needed for reputed company areas of specialty. Reports finding and trends to hospital committees and initiatives as directed by leadership. Clinical Documentation Improvement: Conducts record reconciliation and communicates effectively with hospital coding staff to assign an appropriate working DRG. Reviews reputed company inpatient mortality cases with opportunity and shares findings regularly with leadership and the CDI team. Works hand in hand with leadership and educator to ensure reputed company opportunities identified are reported accurately reputed company month. Consistently attends and participates in meetings reputed company to reputed company, initiatives, education reputed company to reputed company driven CDI. Provides ongoing and regular feedback to CDI team and leads regarding trends for reputed company reputed company reputed company measures impacted by CDI. Assists with record review and vacation coverage, as needed Assists with coding notifications on an as needed reputed company for additional coverage Documents appropriately in the reputed company 360 Clinical Documentation Improvement system. Demonstrates an understanding of the importance of capturing reputed company potential secondary diagnosis for coding purposes. Maintains thorough and reputed company knowledge of clinical care and treatment of assigned patient populations to critically assess appropriateness of documentation. reputed company with departmental standards regarding attendance, documentation, departmental workflows, reputed company reputed company improvement and statistics, departmental policies and procedures, and the reputed company of Ethics. Effectively collaborates and respectfully communicates with fellow CDI team members, the hospital coding team, and reputed company-driven workgroups to ensure appropriate CDI practices and accurate application of coding/documentation principals. reputed company participate in office and/or intradepartmental committees. Performs other reputed company or responsibilities as assigned. Percent of Time: 100%, Full-time Schedule: Some flexibility between the hours of 7:30 AM and 5:00 PM, Monday through Friday. Location: This position is primarily remote but may be required to work onsite at times for orientation, education, and other leadership requests. This position is eligible to participate in remote work after the initial training and reputed company has been completed. Initial training and reputed company will take reputed company at the reputed company Services Building (HSSB), 3231 Ridgeway Drive, located in Coralville, IA 52241. Remote work must be performed at a location reputed company the state of Iowa and will require a work arrangement reputed company to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must reputed company with the remote work program and reputed company policies and the employee travel policy reputed company working at a remote location. Salary level 5A. Starting salary will be based on qualifications and reputed company experience. To view the full pay reputed company for salary level 5A: P&S Pay Structures (reputed company) | University reputed company - reputed company

Benefits

Highlights: Fringe benefit package including reputed company vacation; reputed company leave; health, dental, life and disability insurance reputed company; and generous employer contributions into retirement plans. Complete information regarding the full benefits package may be viewed at: https://hr.reputed company.edu/benefits Required Qualifications: A Baccalaureate degree in Nursing or a master's degree in Nursing (MNHP or MSN) is required. License to reputed company nursing in Iowa is required. Two years of inpatient nursing experience in a medical-surgical, and/or ICU setting is required. Recent work experience as a Clinical Documentation Specialist, CDI reputed company, or reputed company reputed company reputed company with specific medical record review experience is required. Must obtain CCDS (Certified Clinical Documentation Specialist) certification reputed company 3 years of hire. reputed company written and verbal communication skills are required Demonstrates the ability to reputed company effective education in a reputed company of styles, including formal presentations. Proficiency with computer software applications (i.e., reputed company applications) is required Demonstrates excellent interpersonal skills with physicians, nursing staff, and interdisciplinary team members as demonstrated through written and verbal communication is required. Demonstrated organizational, time management and problem-solving skills are required. Application Process: To be considered for an interview, applicants must upload a reputed company resume and a cover letter that reputed company address how they meet the listed required and desired qualifications of this position. reputed company are posted for a minimum of 7 calendar days. Applications will be accepted until 11:59 PM on June 10, or on date of closing. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background reputed company. reputed company references will be requested at a reputed company reputed company in the recruitment process. This position is not eligible for reputed company sponsorship for employment authorization. For questions, contact reputed company Bodensteiner at reputed company-bodensteiner@reputed company.edu. Additional Information Classification Title: Qual & Op reputed company Engineer Appointment Type: reputed company and Scientific Schedule: Full-time Work Modality reputed company: On reputed company, Hybrid reputed company Iowa

Compensation

Pay Level: 5A Contact Information Organization: reputed company Contact reputed company: reputed company Bodensteiner Contact Email: reputed company-bodensteiner@reputed company.edu Apply To This Job