Clinical Documentation Integrity Analyst (Remote) ($5K Sign on)

Job Description

Description

A Brief Overview

Applies clinical expertise and knowledge of health care workflows in order to educate and train CDI Specialists in the essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes Educates CDI Specialists on the rules / regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions. Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and / or clinical and coding scenarios as needed.

What You Will Do

Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations

• Documents SLR findings within CDI application.

◦ If a documentation opportunity is identified, place physician query and follow up for response to ensure completeness and accuracy of the medical record.

◦ If coding opportunity is identified, coordinate with coder and / or Coding Leadership to review and address opportunity as applicable

◦ Performs concurrent second level reviews based on defined criteria and shares feedback with CDI Specialist assigned to the encounter for action on opportunities identified.

Additional Responsibilities

Qualifications

Education

Work Experience

Knowledge, Skills, & Abilities

Licenses and Certifications

and

Physical Demands