Clinical Documentation Specialist (CDI)

SOLVENTUM • Remote - Alabama, AL

2d • $96,000 - $132,000 • Remote

About The Position

Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. The Clinical Documentation Integrity (CDI) Specialist is responsible for reviewing inpatient medical records to ensure accurate, complete, and compliant clinical documentation that reflects the severity of illness (SOI), risk of mortality (ROM), quality outcomes, medical necessity, and appropriate reimbursement. The CDI Specialist collaborates with physicians, coding professionals and other healthcare team members to improve documentation quality and support accurate code assignment and DRG integrity.

Requirements

• Valid Registered Nurse license with a bachelor’s degree or higher (completed and verified prior to start) AND Seven (7) years of Nursing experience AND five (5) years of experience in the inpatient acute care setting OR High School Diploma/GED AND eleven (11) years of experience as an inpatient acute care setting
• Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG methodologies
• Clinical knowledge and application to coding
• Experience in CCDS, CCS, or CDIP with (7) seven years of clinical documentation/DRG validator
• Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Nice To Haves

• Do you have the ability to travel up to 25%
• Do you have knowledge of the Solventum HIS software portfolio (e.g., 360 Encompass)
• Experience with telecommuting, working with EMRs and other electronic tools with current chart auditing skills
• Knowledgeable in Solventum HIS software portfolio (360 Encompass)
• Proficient Microsoft Word, Excel and PowerPoint and other Microsoft Office programs and excellent verbal, written, presentation, analytical and organizational skills

Responsibilities

• Perform concurrent and/or retrospective reviews of inpatient medical records for documentation accuracy, completeness, and compliance.
• Maintain an accuracy rate of 98%
• Identify opportunities for clarification of diagnoses, procedures, present on admission (POA) indicators, severity of illness, risk adjustment, and clinical validation.
• Initiate compliant physician queries to clarify conflicting, incomplete, or nonspecific documentation.
• Collaborate with coding staff to ensure accurate ICD-10-CM/PCS coding and MS-DRG/APR-DRG assignment.
• Monitor documentation trends related to mortality, quality indicators, hospital-acquired conditions (HACs), patient safety indicators (PSIs).
• Conduct clinical validation reviews for diagnoses such as sepsis, respiratory failure, encephalopathy, malnutrition, acute kidney injury, and other high-risk conditions.
• Maintain productivity and quality standards established by Solventum/facility Query rate of 35-40%, review rate of 20-25 cases per day and an accuracy rate of 98%
• Participate in multidisciplinary rounds, provider education, and documentation improvement initiatives.
• Assist with denial prevention by supporting documentation integrity initiatives.
• Stay current with CMS, ICD-10, AHA Coding Clinic, and organizational compliance standards.
• Typically handles inquiries of moderate scope and complexity within customer service areas, such as Account Management, Upselling, Customer Issue Resolution, Customer Inquiry Support, Customer Service Analytics.
• The position may have a direct impact on the direct work group/team, providing direction and advice to co-workers.
• Manages escalated issues.
• Leads projects and performs complex analysis as well as initiatives which maintain and improve customer service levels.
• If a Team Leader role, provides functional work direction to co-workers as assigned.
• Coaches and provides input on the employee performance review.
• Guides team on problem solving and resolution.
• Corporate policies, procedures and security standards are complied with while performing assigned duties.

Benefits

• Medical, Dental & Vision
• Health Savings Accounts
• Health Care & Dependent Care Flexible Spending Accounts
• Disability Benefits
• Life Insurance
• Voluntary Benefits
• Paid Absences
• Retirement Benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level