- Requirements for submittal: Coversheet, LIC and Certs in hand, Float form if applicable. 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. Please submit CDI pre-screening questionnaire with submissions.
High School diploma or GED required. Registered Health Information Technician RHIT Registered Health Information Administrator RHIA Registered Nurse RN Registered Respiratory Therapist Certified Coding Specialist CCS or Certified Coding Specialist-Physician-based CCS-P or International or Domestic Medical Degree License or Certification: Certified Documentation Improvement Practitioner CDIP certification or Certified Clinical Documentation Specialist CCDS certification
Two years of experience in an Inpatient Clinical Documentation Integrity Specialist ICDIS role concurrent review of medical records in the field of ICDI and experience in a production role within the last 12 months. Demonstrated skills in analytical thinking problem solving. Effective verbal and written communication including ability to present ideas and concepts effectively to physicians management and other members of our healthcare team.
Self-motivated and able to work independently without close supervision. Demonstrated ability to work well with others in a creative and challenging work environment. Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.
Certificates and Licenses: Description: The Inpatient Clinical Documentation Integrity ICDI Specialist is accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding. Validates coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care.
Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes pathophysiology medications and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.
Understands and applies regulatory compliance related to documentation coding and billing for all health insurance plans. Facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians coding case management nursing and other care givers. Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.
Performs all duties and responsibilities in accordance with ethical and legal business procedures compliant with federal and state statutes and regulations official coding rules guidelines and accepted standards of coding practice including appropriate clinical documentation policies. This Position is 100 Remote can work from anywhere within the U. S.
Weekends Required: On Call Required: Interview Type: Process Level Department Description: N/A