CDI Specialist I

Amn Agency • Phoenix, AZ

243d • $45 - $60 • Remote

About The Position

The REMOTE Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding. Needing a CDI that has experience with Risk Adjustment Tools like Vizient, Elixhauser, HCC's, SOI/ROM. Specifically we are looking for risk adjustment for expected mortality methodologies and CMS measures (mortality and readmissions). The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding. Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans. The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers. Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation. Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.

Requirements

• Bachelor of Science-Nursing (BSN) or Registered Health Information Administrator (RHIA).
• CCDS or CDIP certification.
• Minimum of 2-3 years of CDI production experience.
• Demonstrated skills in analytical thinking and problem solving.
• Effective verbal and written communication skills.
• Self-motivated and able to work independently.

Nice To Haves

• 5 years Academic Level I Trauma facility experience.
• Proficient with EPIC & 3M360 CAC.
• Extensive knowledge and experience working in an ICU and Mortality Reviews.
• Strong communication skills with experience in writing queries.
• Must be technically savvy.

Responsibilities

• Review patient medical records in inpatient and outpatient settings.
• Capture accurate representation of severity of illness and facilitate proper coding.
• Validate that coding reflects medical necessity of services.
• Facilitate appropriate modifications to documentation through collaboration with healthcare professionals.
• Identify opportunities in concurrent and retrospective inpatient clinical medical documentation.
• Apply regulatory compliance related to documentation, coding, and billing.

Benefits

• Health & Dental insurance.
• PTO, Sick Time, 6 paid holidays.
• 401K retirement planning.
• Weekly pay.
• Paid continuing education time.
• Short-term disability and life insurance.
• Licensure and certification reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Repair and Maintenance
• Education Level: Bachelor's degree