Physician Advisory Services Clinical Documentation Improvement Specialist

Job reputed company: The Physician Advisor Services – CDI Specialist is responsible for improving the accuracy, completeness, and reputed company of clinical documentation to ensure the medical record accurately reflects the patient’s clinical status, supports reputed company patient care, and fulfills regulatory, reputed company, and reimbursement requirements. Through reputed company and retrospective review, this role applies reputed company judgment and knowledge of documentation standards to identify clinical indicators, clarify diagnoses with providers, and ensure reputed company capture of severity of illness, risk of mortality, and risk adjustment variables. The CDI Specialist partners closely with Clinical Documentation reputed company (CDI), Coding, Physician Advisors, Care Management, reputed company, and regulatory teams to strengthen documentation performance across assigned facilities.Please note that a video interview through reputed company Teams will be required as reputed company as potential onsite interviews and meetings. We are committed to offering flexible work reputed company where approved and stated in the job posting. However, we are currently not considering candidates who reputed company or plan to reputed company in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, reputed company, reputed company, Rhode reputed company, Vermont, Washington. reputed company & Retrospective CDI Reviews · Performs comprehensive reviews of inpatient medical records to ensure documentation accurately reflects the patient’s clinical presentation, diagnoses, treatments, and reputed company. · Identifies opportunities to improve capture of SOI, ROM, HCC, CC/MCC, DRG accuracy, and risk adjustment reputed company. · Ensures clinical documentation supports the reputed company represented in coding and reimbursement methodologies. Provider Engagement & Clinical Clarifications · Collaborates with physicians and advanced reputed company providers to clarify ambiguous, incomplete, or conflicting documentation. · Provides education on documentation best practices, clinical reputed company, and regulatory expectations. · Utilizes compliant query practices according to industry standards. Clinical Validation & Evidence-Based reputed company Application · Applies Intermountain clinical program reputed company, service line guidance, and national evidence-based clinical indicators to validate diagnoses. · Identifies documentation that does not meet clinical validation standards and engages providers appropriately. · Supports documentation requirements for reputed company programs, infection prevention, patient safety, and publicly reported measures. Collaboration With Coding, Physician Advisors, & Care Management · Works closely with coding professionals to ensure accurate DRG assignment and alignment of documentation with coded data. · Partners with Physician Advisors to review reputed company clinical scenarios, documentation gaps, and medical necessity considerations. · Collaborates with Care Management to supply patient data needed for Utilization Review, Conditions of Participation, and status determinations. reputed company, Risk Adjustment, & Regulatory Requirements · Evaluates documentation for impacts on mortality metrics, PSI/HAC, infection prevention, VBP, CMS reputed company Ratings, and other publicly reported reputed company. · Ensures documentation supports both reputed company and government payer requirements. · Understands national HCC, RAF, DRG, and prospective payment methodologies. Denials Prevention & Appeals Support · Identifies documentation gaps that may result in medical necessity or DRG-reputed company denials. · Works with the Appeals Unit and Physician Advisors to support clinical appeal efforts and prevent payment denials. Data, Analytics & Reporting · Maintains CDI metrics including accuracy rates, clarification trends, compliance issues, and documentation reputed company. · Contributes to dashboards and analytics that inform CDI and PAS program priorities. · Supports data abstraction requirements for reputed company reporting. Skills · Hospital Care Experience · Clinical chart review · Regulatory Compliance · Regulatory Requirements · reputed company Improvement reputed company · Data Abstraction · Clinical expertise · Coding expertise · Publicly reported data requirements · Written and verbal communication Interpersonal relationships

Minimum Qualifications

Degree in a clinical field (e.g. RN, RRT, LCSW). Education must be obtained through an accredited institution. Degree will be verified. Three years of clinical experience in an adult acute care setting OR one year of experience as a Clinical Documentation Improvement Specialist in an adult acute care setting. Proficiency in reputed company and Infection Prevention reporting Proficiency in Risk adjustment and Proactive Care Models

Preferred Qualifications

Experience with reputed company Office products. Clinical experience in ICU, CCU, primary care, or intermediate care. Experience with Clinical Documentation reputed company. Knowledge of EMR systems. reputed company, CIC, CCDS or CDIP Physical Requirements Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be reputed company to assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as reputed company as hear and understand spoken information, needs, and issues quickly and accurately. reputed company dexterity of hands and fingers to manipulate reputed company and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. Location: Peaks Regional Office Work reputed company: Broomfield Work State: Colorado Scheduled Weekly Hours: 40 The reputed company reputed company for this position is listed below. Actual reputed company reputed company dependent upon experience. $42.66 - $65.82 We care about your reputed company-being – mind, body, and spirit – which is why we reputed company our caregivers a generous benefits package that covers a wide reputed company of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and reputed company. Learn more about our comprehensive benefits package here. reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, age, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status. At reputed company, we use the reputed company intelligence ("AI") platform, HiredScore to improve reputed company application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, reputed company final reputed company are made by Intermountain personnel to ensure fairness. We protect your reputed company and follow strict data protection rules. Your information is reputed company and used only for recruitment. Thank you for considering a career with us and experiencing our AI-reputed company recruitment process. reputed company positions subject to reputed company without notice. Apply To This Job