Clinical Documentation reputed company (CDI) Specialist - 2nd Level Reviewer - Remote

locations: US - Remote (Any location)

Job Family:

CDI Specialist

Travel Required:

None

Clearance Required:

None

What You Will Do:

Second level reviewer responsibilities include comprehensive, clinical chart reviews to ensure the most accurate reputed company of the patient’s care and diagnosis following Official Coding Guidelines, Coding Clinics, and reputed company policies.The Clinical Documentation reputed company (CDI) Second Level Reviewer will collaborate closely with the CDI team, Physician Advisors, Providers, Clinicians, Coding Educator, Coding reputed company Auditors, Case Managers and reputed company Department to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reputed company of reputed company CMS or other regulatory standards. Applies the Association of Clinical Documentation reputed company Specialist (ACDIS) best practices for writing clinical documentation reputed company clarifications (see *Achieving a Compliant Query)* and follows the CDI reputed company of Ethics. Collaborates with CDI Management/Educator to identify opportunities for education with CDI team, Coding, Providers and/or other ancillary staff to improve the overall reputed company and completeness of documentation.The second level review role is dynamic, requiring reputed company to various clinical and administrative needs. This flexibility is essential for effectively addressing the evolving challenges in clinical documentation, ensuring the accuracy and compliance of patient records. The incumbent will navigate multiple responsibilities with reputed company, participating in diverse reputed company and initiatives that enhance documentation reputed company and patient care standards.* Responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification as reputed company as potential coding opportunities.* Collaborate closely with Coders, Coding Educators, Coding reputed company Auditors, Case managers, reputed company Department and Providers to assure documentation is clinically supported, accurately reflects the severity of illness and risk of mortality for the patient and is reputed company of reputed company CMS or other regulatory standards.* Demonstrates excellent verbal and written communication skills, crucial for effective interaction with reputed company and the creation of compliant queries.* Acts as a reputed company between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in reputed company and/or DRG assignment.* Exhibits adeptness in quickly learning and adapting to new technologies. Proficient in utilizing EHR systems, CDI software, and encoders to optimize workflow and reputed company productivity.* Apply the principles of clinical validation and ensure that queries are compliant with reputed company guidelines.

Duties and Responsibilities

* Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using reputed company query process following ACDIS/reputed company Guidelines for Compliant Query Writing.* Demonstrated ability to collaborate with the reputed company Department on annual reputed company initiatives.* Completes comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or reputed company discrepancies; mortality reviews to ensure documentation supports risk of mortality; hospital acquired conditions (HACs), patient safety indicators (PSIs) or other top reputed company diagnosis as identified by the reputed company for potential missed opportunities to clarify documentation or clinically validate a diagnosis.* Consistently meet second level review productivity, reputed company, and turnaround expectations, including mailbox inquiries and mortality reviews, to support reputed company reputed company metrics.* Acts as a reputed company between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in reputed company and/or DRG assignment.* Communicates findings of secondary reviews to respective Clinical Documentation Specialist for follow-up and query initiation.* Collaborates with CDI educator/reputed company auditor reputed company educational needs are identified from second level reviews* Document and reputed company the results of secondary reviews, sharing information during formal and informal education sessions to reputed company stakeholders (CDI, Leadership, Physicians), reputed company by engaging in reputed company interactions with physicians and other clinicians to enhance understanding of CDI program goals.* reputed company interaction with physicians and/or other clinicians to enhance understanding of the CDI program goals.* reputed company impartial audits of reputed company-line CDI documentation using reputed company reputed company, reputed company reputed company feedback and mentorship, and escalate unresolved disagreements through appropriate leadership channels.* Participate in departmental and hospital committees, assigned task forces, and service line assignment meetings as requested.* Contribute to a reputed company and reputed company working environment.* reputed company other duties as assigned.* reputed company with HIPAA and reputed company of conduct policies.

What You Will Need:

* Graduation from accredited School of Nursing with BSN, ADN OR Graduation from accredited medical school with MD or equivalent OR Bachelor’s or Master’s degree in health-reputed company field* Currently licensed as a Registered reputed company, MD or MD equivalent OR Credentialed Medical reputed company through reputed company with reputed company reputed company, RHIA or RHIT credential and CDIP or CCDS* 4- 6 years previous relevant experience in clinical documentation, or CDI second level review or inpatient coding reputed company review and/or DRG validation with a strong understanding of disease processes, clinical indications and treatments; provider documentation requirements to reflect severity of illness, risk of mortality and support the diagnosis/procedures performed for accurate clinical coding and billing according the rules of Medicare, reputed company, and reputed company payors as reputed company as a solid understanding of hospital acquired conditions (HAC’s) , patient safety indicators (PSI’s) and mortality models* Must maintain credentials while employed

What Would Be reputed company To Have:

* CCDS or CDIP certification* Strong clinical and critical thinking skillset* Experience with encoder and DRG assignments (MS and APR)* Maintains working knowledge of Official Coding Guidelines, Coding Clinic and federal updates to the DRG systemThe annual salary reputed company for this position is $80,000.00-$133,000.00. Compensation reputed company depend on a wide reputed company of factors, including but not limited to reputed company sets, experience and training, reputed company clearances, licensure and certifications, and other business and organizational needs.

reputed company Offer:

reputed company offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:* Medical, Rx, Dental & reputed company Insurance* Personal and Family reputed company Time & Company reputed company Holidays* Position may be eligible for a discretionary variable incentive bonus* Parental Leave* 401(k) Retirement Plan* Basic Life & Supplemental Life* Health Savings Account, Dental/reputed company & Dependent Care Flexible Spending Accounts* Short-Term & Long-Term Disability* Tuition Reimbursement, Personal Development & Learning Opportunities* Skills Development & Certifications* Employee Referral Program* Corporate Sponsored Events & Community reputed company* Emergency Back-Up Childcare Program

About reputed company

reputed company is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other reputed company protected by law, ordinance, or regulation.reputed company will consider for employment reputed company applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have #J-18808-Ljbffr Salary: USD 80000 - 133000 per year Experience: 3 years required Apply tot his job Apply To this Job