RN-CDI Specialist

Overview: Follows the American Health Information Management Association’s Ethical Standards for Clinical Documentation Professionals. The CDI Specialists works towards optimizing reimbursement. Optimization is the process of striving to obtain the highest possible payment to which the facility is legally entitled on the basis of coded data supported by documentation in the health record. The CDI Specialists works extensively with physicians, Advanced Practice Providers, Nursing, HIM Coders, Annual Wellness Specialists and others to ensure timely and accurate documentation.Responsibilities:

• Concurrently and retrospectively reviews inpatient medical records to identify the most appropriate principle diagnosis and to assign a working DRG.
• Collaborates with the coding staff concurrently and retrospectively to ensure the chart has all the necessary documentation to support the most accurate coding.
• Ensures the medical record reflects the patient’s severity of illness and risk of mortality.
• Send compliant queries to providers for clarification regarding documentation.
• Assists in other monitoring activities, special department projects or other needs as determined by the department director.

Qualifications: Education Required: ASN or Associate of Science in Helath Information Management Education Preffered: Advanced degrees in Nursing or Health Information Management Experience Required: 2 or more years working in an acute care setting or ambulatory office setting. Experience Preffered: Previous experience in CDI. Licensure: Registered Nurse as applicableSchedule Details: Monday - Friday every 6th weekend On-Site First Shift 0800-1630