Clinical Documentation Integrity Specialist Part time

Job Family : CDI Specialist

Travel Required : None

Clearance Required : None

What You Will Do :

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.

Conducts 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 (or worksheet to include code and DRG assignment) and submit to Program Assistant.

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 so that CDI Coordinator can assist in adjusting review assignments amongst the team.

Initiates compliant physician queries when documentation is confusing ambiguous or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide : Managing an Effective Query Process October 2008 and Guidance for Clinical Documentation Improvement Programs May 2010).

What You Will Need : Bachelors degree

One of the following : RN MD or MD Equivalent (MBBS)

4 years experience providing direct patient care to acute and chronically ill patients in inpatient settings critical

care ED or strong med-surg experience preferred.

2 years prior CDI experience

Familiarity with encoder and DRG assignment

Maintain current working knowledge of official coding guidelines and coding clinics

What Would Be Nice to Have :

CCDS CDIP preferred

ED / Critical care or case management; or inpatient acute care (referral hospital); strong critical thinking skills; strong

interpersonal skills; strong clinical knowledge base.

Coding Case Management and / or Utilization Review experience preferred.

Strong clinical understanding of disease process

Demonstrate critical thinking analytical skills and ability to resolve problems.

Strong knowledge of medical terminology anatomy physiology microbiology and disease processes

Ability to converse with physicians in sometimes difficult scenarios

Strong typing and computer skills; proficiency with EHR systems CDI software systems and encoders

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The annual salary range for this position is $61000.00-$101000.00. Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.

What We Offer :

Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include :

Medical Rx Dental & Vision Insurance

Personal and Family Sick Time & Company Paid Holidays

Position may be eligible for a discretionary variable incentive bonus

Parental Leave

401(k) Retirement Plan

Basic Life & Supplemental Life

Health Savings Account Dental / Vision & Dependent Care Flexible Spending Accounts

Short-Term & Long-Term Disability

Tuition Reimbursement Personal Development & Learning Opportunities

Skills Development & Certifications

Employee Referral Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Required Experience :

IC

Key Skills

Bidding,Apps,Benefits,Corporate Recruitment,Android Development

Employment Type : Part-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 61000 - 101000