Lead CDI Specialist

Jefferson Health Plans•Washington Township, NJ
•$93,020 - $141,378•Remote

About The Position

Under the direction of the Senior Director of Revenue Cycle, Clinical Documentation Improvement (CDI) and the Revenue Cycle Manager, CDI, the Revenue Cycle Lead, CDI serves as an expert resource for staff and helps supervisory staff manage workflow and day-to-day operations. The role supports organizational goals by identifying opportunities to partner with providers and provide education and feedback so documentation reflects all diagnoses. The position is currently primarily remote and works a daytime schedule. The role requires strong expertise in clinical record reviews, 3M encoder coding systems, DRG systems, Epic EHR, ICD-10-CM/PCS coding conventions, and SOI/ROM. The Lead CDI Specialist supports staff, provider, and leadership reporting and helps meet departmental goals.

Requirements

  • At least three years of experience as a CDI specialist.
  • An associate or bachelor's degree in nursing; a medical graduate degree; or an associate or bachelor's degree in another clinical health profession.
  • At least three years of hands-on clinical experience obtained through nursing, medical school, respiratory therapy, physician assistant work, or residency; alternatively, five years of inpatient acute-care medical coding experience.
  • Required Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) certification.
  • Expert-level working knowledge of ICD-10-CM/PCS coding conventions and SOI/ROM.
  • Strong working knowledge and experience in clinical record reviews, 3M encoder coding systems, DRG systems, and Epic EHR.
  • Strong working knowledge of Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
  • Excellent interpersonal, organizational, and communication skills.
  • Ability to work independently and as a team member.
  • Effective problem-solving skills.
  • Ability to meet departmental goals on an ongoing basis.
  • Awareness of compliance and regulatory guidelines.

Nice To Haves

  • BSN, PA, or medical graduate degree.
  • Prior CDI experience at a large academic medical center.

Responsibilities

  • Interact with co-workers, visitors, and staff to help ensure department goals are met.
  • Assist supervisory staff with workflow, staff performance, and day-to-day operations.
  • Conduct training and mentoring sessions for new and existing staff.
  • Assist employees with day-to-day questions, issues, or problems and escalate systemic issues to a supervisor.
  • Manage assigned work queue(s).
  • Validate monthly reporting for staff, providers, and leadership.
  • Identify opportunities to partner with providers and provide education and feedback about documentation.

Benefits

  • Medical insurance, including prescription coverage
  • Supplemental insurance
  • Dental insurance
  • Vision insurance
  • Life and AD&D insurance
  • Short- and long-term disability
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits, including access to group insurance rates and discounts
  • Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
  • Medical insurance, including prescription coverage, for colleagues including those working less than part-time
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