About The Position

The Sr Coding and CDI Specialist has the overall responsibility for conducting in-depth reviews of clinical documentation to ensure compliance with coding guidelines, regulatory requirements, clinical validation, and overall accuracy of coding for the Temple University Health System. Provide coding expertise and guidance to physicians, nurses, and other healthcare professionals. Identify and address coding-related compliance issues. Facilitate improvement in overall quality, completeness, and accuracy of the medical record documentation. Stays up to date with coding guidelines, regulations, and industry changes. Serves as an expert for CDI and Coding teams on topics such as coding compliance, clinical validation, PSIs, HACs and Vizient variables. Communicates and collaborates with the CDI and Coding Leadership teams to provide feedback on medical chart reviews.

Requirements

  • Bachelor's Degree Bachelor of Science in Nursing or related field Required or Combination of relevant education and experience may be considered in lieu of degree Required
  • 5 years experience in Coding and/or CDI for inpatient records Required
  • General Experience and expert knowledge of ICD, CPT, DRG, and APC coding and classification Required
  • Certified Coding Specialist Required or Cert Clin Documentation Spec Required

Nice To Haves

  • General Experience with EPIC Preferred
  • PA Registered Nurse License Preferred or Multi State Compact RN License Preferred
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