- Remote, United States
- Remote
- Full-time · Associate
- $61K–$101K per year
- 2–4 years
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.
Compensation
The annual salary range for this position is $61,000.00-$101,000.00.
Responsibilities
- Conduct comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification.
- Conduct daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding.
- Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews.
- Updates 'working DRG' as documentation supports, or physician query answer supports a change in the DRG assignment.
- Communicates to the CDI Coordinator when volume of daily review assignments is too high or low.
Requirements
- University Degree
- RN
- MD
- MBBS
- CCS