Full employer posting
Schedule Notes: Sun-Thurs schedule. Mandatory OT is expected, along with working the holiday when the holiday falls during the Sun-Thurs. schedule (unless the contractor is taking paid time off). The onboarding schedule will be Mon-Fri for appr. 3-4 weeks (maybe a little longer, if needed), prior to switching to the Sun-Thurs. schedule.
Job Title: RN - Level I Clinical Document Improvement Specialist Location: Remote (Anywhere within the U. S.) Contract Length: Not specified
The Inpatient Clinical Documentation Integrity (ICDI) Specialist is responsible for reviewing patient medical records in both inpatient and outpatient settings to ensure accurate representation of the severity of illness and proper coding. This role involves validating coding to reflect medical necessity, facilitating accurate documentation of discharge diagnoses and co-morbidities, and ensuring compliance with regulatory standards.
The specialist collaborates with physicians, coding teams, case management, nursing, and other caregivers to improve clinical documentation quality. This position requires advanced knowledge of disease processes, medications, and critical thinking skills to identify documentation gaps and opportunities for improvement. Required
Two years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role. Experience in concurrent review of medical records in the field of ICDI. Experience in a production role within the last 12 months.
High School diploma or GED. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Registered Respiratory Therapist, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), or International/Domestic Medical Degree. Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification.
Demonstrated skills in analytical thinking and problem-solving. Effective verbal and written communication skills, including the ability to present ideas and concepts effectively to physicians, management, and healthcare teams. Self-motivated and able to work independently without close supervision.
Ability to work flexible hours, including evenings and weekends, as required to meet business needs. Proven ability to work collaboratively in a creative and challenging environment.