POSITION: Remote IP CDI
DEPARTMENT: Health Information Management
START: ASAP
LOCATION: Remote

POSITION SUMMARY: The REMOTE Clinical Documentation Integrity (CDI) 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. The CDI Specialist 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. The CDI Specialist 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.”.

REQUIRED SKILLS:
• Bachelor of Science-Nursing (BSN) or Registered Health Information Administrator (RHIA).
• Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.
• CCDS or CDIP and a minimum of 2 -3 years of CDI production experience.
• Demonstrated skills in analytical thinking and 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.


MINIMUM EDUCATION AND/OR EXPEREINCE REQUIRED:
• Entry-level or minimal experience in a Clinical Documentation Integrity Specialist (CDIS) role
• MUST have the (CCDS) or the (CDIP) certification AND Any of the following: (RHIT), (CCS), (CCS-P), (RN), completion of international or domestic medical program or, Formal education (accredited college-level course work) in human anatomy and physiology, medical terminology, and disease process or, Associate's degree or higher (candidates must also have completed coursework in medical terminology and anatomy and physiology.


PREFERRED QUALIFICATIONS:
• 5yrs Academic Level I Trauma facility experience
• Bachelor of Science – Nursing (BSN), CCS credentials
• Proficient with EPIC & 3M360 CAC
• Extensive knowledge and experience working in a ICU and Mortality Reviews
• Strong communication (written/verbal) with experience in writing queries
• Must be technically savvy.


# Of WEEKS: 52 weeks with extension


WORKING HOURS NEEDED:
• The schedule will not be Monday through Friday. We will need the schedule to cover the weekends. A Thursday through Monday schedule or Friday through Tuesday or potentially Saturday through Wednesday. The Weekend is the target.


LICENSE/CREDENTIALS REQ:
• MUST have the (CCDS) or the (CDIP) certification AND Any of the following: (RHIT), (CCS), (CCS-P), (RN), or completion of international or domestic medical program or, Formal education (accredited college-level course work) in human anatomy and physiology, medical terminology, and disease process or, Associate's degree or higher (candidates must also have completed coursework in medical terminology and anatomy and physiology.

COMPENSATION & BENEFITS:
• Pay Range: Paid weekly a very competitive hourly rate
• Health & Dental
• PTO, Sick Time, 6 paid holidays
• 401K, Weekly Pay