Employment Type : Full-Time
As a Clinical Documentation Specialist 1, you will conduct reviews of electronic medical records on a defined inpatient population while patients are being treated on nursing units. To help achieve our mission, you will interact with providers via the query process, phone, paging systems, email or secure texting applications. Interacting with CDS Remote, CDS 2, CDI Educator/Auditor, CQCs and Coding Professionals to ensure complete and compliant provider documentation to support MS-DRG, APR-DRG, severity of Illness (SOI), Risk of Mortality (ROM) is of vital importance. Your ability to follow up with providers (physicians, APPs) regarding pending queries related to compliant documentation for DRG revenue assurance, compliance, quality outcomes and ICD10 is required. Education: Bachelor's degree or higher in Nursing or Medicine (e.g. BSN, MD, MBBS, NP, PA). Experience: 3 years of health care related work experience to include Training: Receives at least 90 percent accuracy rate on DRG assurance test, ICD-10 CDI test or equivalent., CDI, DRG Assurance, or Inpatient Coding training. Certifications: CCS or CCDS or CDIP required for RN/RHIT candidates. Skills: Education: Bachelor's degree or higher in Nursing or Medicine (e.g. BSN, MD, MBBS, NP, PA). Experience: 3 years of health care related work experience to include Training: Receives at least 90 percent accuracy rate on DRG assurance test, ICD-10 CDI test or equivalent., CDI, DRG Assurance, or Inpatient Coding training. Certifications: CCS or CCDS or CDIP required for RN/RHIT candidates. Skills:
Job Responsibilities
Additional Requirements
Alternatively, a combination of Registered Nurse (RN) or Registered Health Information Technician (RHIT) with certification in coding or clinical documentation improvement and 1 year of work experience with Inpatient CDI, Coding or DRG Assurance: RN/RHIT/RHIA with CCS/CCDS/CDIP and 1 year of experience.
at least 3 months of recent (within 12 months) Inpatient CDI, DRG assurance or Coding experience.
Possesses strong clinical skills and knowledge.
Proficient with use of various computer applications.
Ability to quickly learn new systems.
Excellent verbal and written communication skills.
Strong interpersonal skills particularly in working with physicians, nurses and coding auditors.
Ability to work as part of a team.
As a Clinical Documentation Specialist 1, you will conduct reviews of electronic medical records on a defined inpatient population while patients are being treated on nursing units. To help achieve our mission, you will interact with providers via the query process, phone, paging systems, email or secure texting applications. Interacting with CDS Remote, CDS 2, CDI Educator/Auditor, CQCs and Coding Professionals to ensure complete and compliant provider documentation to support MS-DRG, APR-DRG, severity of Illness (SOI), Risk of Mortality (ROM) is of vital importance. Your ability to follow up with providers (physicians, APPs) regarding pending queries related to compliant documentation for DRG revenue assurance, compliance, quality outcomes and ICD10 is required.
Job Responsibilities
Additional Requirements
Alternatively, a combination of Registered Nurse (RN) or Registered Health Information Technician (RHIT) with certification in coding or clinical documentation improvement and 1 year of work experience with Inpatient CDI, Coding or DRG Assurance: RN/RHIT/RHIA with CCS/CCDS/CDIP and 1 year of experience.
at least 3 months of recent (within 12 months) Inpatient CDI, DRG assurance or Coding experience.
Possesses strong clinical skills and knowledge.
Proficient with use of various computer applications.
Ability to quickly learn new systems.
Excellent verbal and written communication skills.
Strong interpersonal skills particularly in working with physicians, nurses and coding auditors.
Ability to work as part of a team.