CDI Specialist RN

Lexington Medical Center • West Columbia, SC

96d

About The Position

The CDI Specialist RN position at Lexington Medical Center involves providing thorough concurrent review of medical record clinical documentation to capture documented and potential principal diagnosis, secondary diagnoses, and procedures affecting DRG assignment and profiling outcomes. The role requires querying the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports DRG assignment and the severity of patient illness and risk of mortality.

Requirements

• Associate's Degree in Nursing.
• 3 Years of Clinical Experience in an Acute Care Setting.
• Current RN License to Practice in the State of South Carolina.
• Certification from ACDIS (CCDS) or AHMIA (CDIP) or eligible certification must be obtained within 2 years of entry into the role.

Nice To Haves

• 3 years of ACUTE care experience.
• Current or previous Inpatient CDI experience.

Responsibilities

• Collaborates with physician, physician extender, nurse, case manager/utilization reviewer, and Medical Records coder to identify principal diagnosis options, secondary diagnoses, and procedures, to assign working DRGs for identified populations.
• Identifies need to clarify documentation in records and utilizes strong communication skills with healthcare professionals to capture needed documentation.
• Conducts thorough medical record review on initial and extended-stay concurrent reviews on all selected inpatient admissions and documents findings.
• Maintains complete confidentiality of patient information and hospital data.
• Assures all documentation is accurate, complete, and compliant, supporting acute or chronic conditions and medical necessity.
• Develops and sustains positive working relationships with providers and other departments to promote the success of the CDI program.
• Effectively prioritizes tasks with workflow.
• Stays up to date with industry standards by participating in continuing education related to ACDIS, ICD-10-CM coding, and CMS Official Coding Guidelines.
• Utilizes software, programs, and other technology tools to maintain workflow.
• Performs all other duties as assigned.

Benefits

• Day ONE medical, dental and life insurance benefits.
• Health care and dependent care flexible spending accounts (FSAs).
• 403(b) match plan with dollar for dollar up to 6%.
• Employer paid life insurance equal to 1x salary.
• Supplemental life insurance with low cost premiums up to 3x salary.
• Adoption assistance.
• Employer paid short-term and long-term disability coverage after 90 days of eligible employment.
• Tuition reimbursement.
• Student loan forgiveness.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Associate degree