CDI Specialist-Inpt

WVU Medicine

About The Position

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Facilitates improvement in the overall quality and completeness of clinical documentation to assure accurate coding assignment, severity of illness and risk of mortality through extensive interaction with, and education of, providers and multidisciplinary team members. May perform at a level requiring continued feedback and monitoring or mentoring

Requirements

High School Diploma or Equivalent
Three (3) years inpatient acute care coding or CDI experience OR Three (3) years clinical experience as Registered Nurse in an inpatient acute care setting OR Three (3) of clinical experience as Licensed Practical Nurse in an inpatient acute care setting
Must be able to sit for long periods of time.
Must have visual and hearing acuity within the normal range.
Must have manual dexterity needed to operate computer and office equipment.
Must possess excellent written and verbal communication skills, as well as interpersonal skills necessary to communicate effectively.
Must possess the knowledge of related provider healthcare compliance, revenue cycle operations, and auditing techniques required.
Must possess the ability to accept mentoring, education and training from others.
Must meet quality and productivity standards.
Must be able to concentrate and maintain accuracy during constant interruptions.
Must possess the ability to prioritize job duties.
Must be able to adapt to changes in the workplace and work assignments.
Must possess organizational and time management skills.
Must possess the knowledge of anatomy, physiology and medical terminology.
Must possess analytical and problem solving skills.
Must be proficient in office software programs.
Must be able to work independently with minimal supervision.

Nice To Haves

Experience in Risk Adjusted Coding or Evaluation and Management
Two (2) years of CDI experience

Responsibilities

In collaboration with the providers and staff, identifies and records principle diagnoses, secondary diagnoses, procedures, and assigns a working Diagnostic Related Group (DRG).
Conducts initial concurrent review and ongoing re-reviews for all selected admissions by documenting findings regarding DRGs, APR-DRGs and Value Based Purchasing/Quality measures.
Identifies need to clarify documentation through quality audits in records and initiates communication with physician, nurse, or patient care coordinator by utilizing the appropriate “query” tools in order to capture the documentation in the medical record that accurately supports the patient’s severity of illness.
Provides information and ongoing education as necessary to providers and staff on documentation issues, guidelines, and unanswered queries.
Promotes compliance with CMS, Medicare documentation, and coding and billing regulations.
Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results assessment and improvement processes to the appropriate administrative levels.
Collaborates with the Quality Department to ensure documentation meets quality initiative standards used for measuring and reporting hospital and provider outcomes.
Collects, analyzes and submits timely, accurate and complete reports of clinical documentation information used for measuring and reporting Hospital and Provider outcomes data.
Facilitates in the education and training of new associates concerning clinical documentation improvement guidelines and processes. This may include providers, CDIs, coders, and other healthcare providers.
Works with the Coding Specialists on any issues that arise concerning documentation, providers, and queries to enhance the concurrent process to enable prompt coding.
May provide educational support in terms of clinical/coding or process at manager’s discretion and as need arises.