Clinical Documentation Integrity Specialist

Lifepoint Health • Mcminnville, OR

23h

About The Position

At Willamette Valley Medical Center, we are driven by a profound commitment to
prioritize your well-being so you can provide exceptional care to others. Here,
you’re not just valued as an employee, but as a person. As a Clinical
Documentation Integrity Specialist (CDI) joining our team, you’re embracing a
vital mission dedicated to making communities healthier. Join us on this
meaningful journey where your skills, compassion, and dedication will make a
remarkable difference in the lives of those we serve.

 Department/Unit Summary

The CDI Specialist will work with physicians and other providers to improve the
overall quality and completeness of clinical documentation in the medical record
to ensure that an accurate reflection of the severity of illness and the quality
of care is captured. The CDI Specialist works to educate providers on the value
of more granular documentation to their quality scores, risk of mortality data,
length of stay and continuity of care for the patient. The Specialist, in
conjunction with the CDI team and HIM Leadership, will assist the effort to
ensure that accurate DRG-based reimbursement for the hospital is achieved and
claims denials are reduced, by ensuring documentation integrity.

Requirements

• Minimum 3 years clinical work experience required; Critical care, ICU or ER experience preferred.
• A strong knowledge of pathophysiology and treatment management across multiple practice areas is required.
• Knowledge of ICD 10, coding or billing is desirable.
• Strong computer skills including MS Office and internet based software programs.

Responsibilities

• Ensures that provider documentation provides an accurate reflection of the patient’s severity of illness and that appropriate diagnoses are rendered with adequate specificity, by concurrently reviewing all relevant inpatient admissions, performing a gap-analysis to determine where short-falls exist in the progress notes, and verbally and/or in written communications to the providers address and identify options for appropriate specificity that may be lacking.
• Assists the CDI team in providing education to operational leaders, staff and physicians on the importance of the Clinical Documentation Integrity Program (CDIP), and works cooperatively with them to ensure that improved documentation is seen as a part of the strategic mission.
• Facilitates modifications to clinical documentation through extensive concurrent interactions with physicians, nursing staff and coding teams to ensure that appropriate reimbursement and severity of illness (SOI) is captured
• Responsible for attaining Key Performance Metrics and Financial goals set annually by the facility in conjunction with the system.
• Assists the assigned coder with concurrently reviewing the medical records of inpatients and subsequently discusses documentation opportunities with the various physician teams
• Acts as consultant to coders when additional information or documentation is needed to assign the correct principal diagnosis, secondary diagnoses and appropriate DRG.

Benefits

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts  
• Competitive paid time off for full-time employees
• Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed