RN - Clinical Documentation Integrity Specialist - 40hrs

Job description

Reporting to the Manager of CDI, this individual is responsible to identify physician documentation improvement opportunities, ensuring all relevant information is included and accurately reflects the patient’s condition and care. Works closely with physicians and other healthcare providers to clarify documentation and address any discrepancies and/or ambiguities. Participates in continuous close collaboration with the hospital Inpatient Coding team and other on related workflows. Remains current with the latest coding guidelines and documentation standards. Supports the overall success of the CDI program. - Provides review of medical records to facilitate appropriate physician documentation of clinical conditions and procedures. -20% - Analyze medical records to support appropriate severity of illness, expected risk of mortality, complexity of care for the patient, Present on Admission indicator(s), quality measures (Hospital Acquired Conditions, Patient Safety Indicators, etc.), and other focus areas as needed and where applicable. -20% - Maintains knowledge of ICD-10 diagnosis and PCS procedure coding, MS and APRDRG assignments, clinical conditions, and documentation practices....