Remote - Clinical Documentation Integrity Specialist
About The Position
This position evaluates and partners with physician advisor on first and second level appeals, denial tracking. Rounding on patients, mortality reviews and second level reviews are also performed. Review and ICD-10-CM/PCS codes are assigned and appropriate DRG based on Official Coding Guidelines. Candidates residing in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia will be considered for remote employment. Remote work will not be permitted from any other state at this time.
Requirements
- Works under the supervision of the Manager
Responsibilities
- Complete basic to intermediate CDI reviews and re-reviews
- Submit queries to providers
- Complete first and second appeal levels
- Evaluate and partner with physician advisor on first and second level appeals
- Denial tracking
- Rounding on patients
- Mortality reviews
- Second level reviews
- Review and assign ICD-10-CM/PCS codes
- Assign appropriate DRG based on Official Coding Guidelines
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
