CDI Reconciliation Specialist

HCA Healthcare • Nashville, TN

123d • Remote

About The Position

This is a fully remote role but you must live within 60 miles of an HCA facility. Do you want to join an organization that invests in you as a CDI Reconciliation Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.

Requirements

• Bachelors degree required.
• 5+ years of experience in acute inpatient CDI or equivalent combination of education and/or experience required.
• Registered Nurse - Currently licensed as a Registered Professional Nurse in the state of residence.
• Any coding credential nationally recognized as administered through AHIMA or ACDIS required.

Responsibilities

• Performs high priority retrospective reviews of the complete medical record and the coding summary of assigned population.
• Analyzes documented and clinically supported conditions in multiple electronic health record technologies to ensure complete documentation.
• Performs independent coding of the record to assure that the HIM coding accurately reflects the documentation.
• Ensures documented conditions, clarifications, and coded diagnoses are clinically supported.
• Enters or revises Working and Target DRGs that accurately reflect expected CDI query impact.
• Demonstrates knowledge of Official Coding Guidelines and the DRG Classification System to ensure regulatory compliance related to the CDI and coding functions.
• Identifies and documents education opportunities for CDI Specialists.
• Thoroughly documents reviews and other pertinent information in designated systems by established deadlines.
• Achieves and maintains key operating metrics consistent with CDI Reconciliation program requirements.
• Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and Coding Clinics determines when and/or if escalation to the HSC is necessary.
• Escalates DRG mismatches with coding opportunities as appropriate per established protocols.
• Monitors and documents HSC responses.
• Develops and strengthens collaborative relationships with stakeholders to advance the care of our patients.
• Actively encourages collaboration and possesses excellent interpersonal skills in building and maintaining crucial relationships.
• Delivers information in a clear, concise and compelling manner to facilitate accomplishment of work goals.
• Delivers targeted and actionable communications that invites two-way professional communication.
• Demonstrates a willingness and ability to assist others.
• Demonstrates proficiency in current and emerging technologies.
• Simultaneously uses multiple technologies to complete unique patient-level reviews.
• Independently takes proactive steps toward problem resolution.
• Completes all mandatory and assigned education by established deadlines.
• Attends scheduled meetings and continuing education programs.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Retirement readiness, rollover assistance services and preferred banking partnerships.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

What This Job Offers

• Industry: Hospitals
• Education Level: Bachelor's degree