Lead CDI Specialist

BHS

22h • Remote

About The Position

Baptist Health is looking for a Lead CDI Specialist to join their team. This is a remote work position that requires residency in KY or IN Lead CDI Specialist expands on the Facility CDI Specialist role to include reporting and data analysis for facilities and / or service lines. Additional focus on provider interaction during formal and informal educational sessions including participation in the creation of educational content for several assigned service lines. The Lead CDI specialist is responsible for ensuring efficiency and productivity of the processes and workflows within the CDI team, participating in orientation of new staff, reporting any issues to the Regional Manager or CDI Director. The lead CDI specialist displays leadership skills and is involved in committees / projects as indicated.

Requirements

• Bachelor’s degree with 3 years acute healthcare nursing experience including one year of clinical documentation integrity experience.
• In lieu of bachelor’s degree, associate degree in nursing with five years acute healthcare experience including one-year clinical documentation integrity experience.
• Knowledge of ICD10-CM coding principles and procedures, DRG assignment.
• Proficiency with Microsoft Office products, data entry and data retrieval systems, Encoder, and internet.
• Kentucky or Indiana Licensure as a Registered Nurse, CCDS and/or CDIP, and ACDIS or AHIMA member

Responsibilities

• Accurately interprets clinical information in the medical record, evaluates medications, treatments, clinical indicators, and other key data elements to identify documented and potential diagnoses.
• Performs concurrent and retrospective reviews of inpatient admissions for assignment of MS and APR DRG, principal and secondary diagnoses, and procedure codes.
• Assigns severity of illness and risk of mortality.
• Actively participates in the development, implementation, and evaluation of unit/organizational programs.
• Engages, both verbally and in writing, with physicians or other advanced practice providers to improve clinical documentation to validate the diagnoses and procedures documented within the medical record.
• Identifies potential opportunities to improve clinical documentation through provider query.
• Submits CDI queries following the most current AHIMA/ACDIS, “Guidelines for Achieving a Compliant Query Practice.”
• Prioritize and performs second level reviews for Quality cohorts or as requested by staff or leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees