Clinical Documentation Integrity Specialist Job at Emanate Health (West Covina)

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

69.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) preferred
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Parttime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

69.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) preferred
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Parttime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

49.55 - 76.80 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

49.55 - 76.80 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

69.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) preferred
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Parttime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

New

Clinical Documentation Integrity (CDI) Analyst

Applies clinical expertise and knowledge of health care workflows in order to ed...

Location

United States , Shaker Heights

Salary:

79331.00 - 124051.00 USD / Year

University Hospitals

Expiration Date

Until further notice

Requirements

Other Accredited Program: Diploma in Nursing or in Health Information Management
Associate's Degree preferably in Health Information Management or Nursing
Bachelor's Degree preferably in Health Information Management or Nursing
Doctorate Degree in Medicine
3+ years CDI experience as a concurrent reviewer
Extensive clinical knowledge and understanding of pathology/physiology
Strong critical thinking skills
Demonstrates comprehension of Case Mix Index (CMI)
Knowledge of age-specific patient needs and the elements of disease processes and related procedures
Excellent written and verbal communication skills

Job Responsibility

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
Serves as a role model and resource for CDI team members
Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team
Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity
Is actively engaged in quality and process improvement efforts
Performs other duties as assigned
Complies with all policies and standards
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients

What we offer

$5,000 Sign on Bonus
healthcare
dental
vision
retirement plan options
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Fulltime

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Clinical Documentation Integrity Specialist

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