Vacancy caducado!
Job Description
We are a hospital consulting firm and we are growing and adding EXPERIENCED Clinical Documentation Improvement Specialist RNs in our Little Rock locations. This position REQUIRES an RN LICENSE.
UNFORTUNATELY, there is NO RELOCATION ASSISTANCE with this position. However, we offer a very competitive compensation package with great pay, benefits and paid vacation. Most importantly, this is an excellent career opportunity with a major player in hospital consulting.
If you meet the requirements below, please send your resume today for immediate consideration.
JOB SUMMARY
Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management.
ESSENTIAL DUTIES AND RESPONSIBILITIES
· Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) initiate a review worksheet. Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. Collaborates with case managers, nursing staff and other ancillary staff and physicians regarding documentation to resolve physician queries prior to discharge.
· Assist in training department staff new to CDI
· Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.
· CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
· Other duties as assigned
KNOWLEDGE, SKILLS, ABILITIES
· CDI Specialist must display teamwork and commitment while performing daily duties
· Must demonstrate initiative and discipline in time management and medical record review
· Travel may be required to meet the needs of the facilities
· Advanced knowledge of Medicare Part A & familiar with Medicare Part B
· Intermediate knowledge of disease pathophysiology and drug utilization
· Intermediate knowledge of MS-DRG classes & reimbursement structures
· Critical thinking, problem solving and deductive reasoning skills
· Effective written and verbal communication skills
· Knowledge of coding compliance and regulatory standards
· Organizational skills for initiation and maintenance of efficient work flow
· Regular and reliable attendance and time reporting
· Capacity to work independently at facility setting
· Understand and communicate documentation strategies
· Recognize opportunities for documentation improvement
· Formulate clinically, compliant credible queries
· Maintain an auditing/monitoring program to measure query process
· Aapply coding conventions, official guidelines, and Coding Clinic to EMR
EDUCATION / EXPERIENCE
· REQUIRED: Acute Care nursing experience
· (2) years of CDI experience
· Graduate from a Nursing program, ASN, BSN, or graduate
CERTIFICATES, LICENSES, REGISTRATIONS
· Active state Registered Nurse license
· Preferred: CDIP or CCDS
· RHIT or RHIA
Job Type: Full-time
Pay: $70,000.00 - $75,000.00 per year
Vacancy caducado!