Clinical Documentation Integrity (CDI) Specialist in Rochester, MN at Pride Health

Date Posted: 8/27/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Rochester, MN
  • Experience:
    At least 3 year(s)
  • Date Posted:
    8/27/2020

Job Description

Our client is seeking remote candidates for a Clinical Documentation Integrity (CDI) Specialist opportunity! 

Duties:

  • Reviews patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding.
  • Validates that 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.

Qualifications: 

  • Certified Clinical Documentation Specialist (CCDS) OR Certified Documentation Improvement Practitioner (CDIP) certification required.
  • Registered Health Information Technician (RHIT) OR Certified Coding Specialist (CCS) OR Certified Coding Specialist-Physician-based (CCS-P) OR Registered Nurse (RN) OR completion of international or domestic medical program
  • 3 or more years of CDI experience in a large healthcare system

Details: 

  • Monday-Friday, 7:00 am – 4:00 pm CT, one hour lunch. Occasional weekend shifts as needed.
  • 4-month contract, possible extensions & possible temp to hire! 
  • Fully remote opportunity! 
  • Pay Rate: $50-55/hour

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