DHS
Lead CDI Specialist
Remote - Texas
Sponsorship not specifiedDetected 13 days ago
ExcelEpicICD-10PharmacologyLeadershipMicrosoft Office
About the role
- Where compassion meets innovation and technology and our employees are family.
- Thank you for your interest in joining our team!
- Please review the job information below.
Responsibilities
- Always maintains utmost level of confidentiality and integrity.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Conducts follow-up reviews of patients as scheduled to support and assign a working or final APR- DRG.
- Collaborates with CDI Physician Champion, case managers, nursing staff, and other ancillary staff regarding interaction with physicians on documentation and to resolve physician queries prior to patient discharge.
- Partners with the coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to assign ICD-9-CM and ICD-10-CM/PCS diagnosis and procedure codes to determine an accurate working and final APR-DRG, severity of illness, and/or risk of mortality.
- Maintains professional development by participating in workshops, conferences, and/or in-services keeping appropriate records of participation.
Requirements
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
- The requirements listed below are representative of the knowledge, skill, and/or ability required.
- employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.
- Proficiency in the use of Microsoft applications (e.g. Word, Excel, PowerPoint), Epic, and 3M CRS and 3M CDI 360 Encompass.
Nice to have
- RHIA, RHIT, or CCS certification preferred or eligible - to be achieved within 2 years of employment.
- CDIP or CCDS certification preferred or eligible - to be achieved within 3 years of employment.
Benefits
- The Lead Clinical Documentation Improvement Specialist is involved in the direction and education of all phases of the Clinical Documentation process and will work in a collegial manner with physicians and support staff.
- Documentation education for current and new staff, including new Clinical Documentation Specialists, physicians, nurses and allied health professionals, and with tracking and trending program performance.
- Serves as a subject matter expert for the CDI program, inpatient coding, and reimbursement methodologies.
- Demonstrates ability to educate medical and hospital staff regarding the MS-DRG and APR-DRG reimbursement methodologies.
- Communicates with hospital personnel regarding questions relevant to CDI, inpatient coding, and reimbursement.
- Reviews and codes inpatient medical records as needed for additional backlog and reporting support.
- Must maintain current knowledge of reimbursement systems and federal, state and payer-specific regulations and policies.
- Must demonstrate continuing education in CDI, inpatient coding, and/or reporting compliance areas.
- Queries physicians regarding missing, unclear, or conflicting health record documentation.
- Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
This listing is sourced directly from DHS's careers page and normalized into a canonical job model.