远程住院临床文档改善（CDI）专家
Remote Inpatient Clinical Documentation Improvement (CDI) Specialist
我们正在寻找一个详细专业和经验丰富的患者临床文档完整性 (CDI) 专家，加入我们的远程团队。这项角色对于支持客户的 CDI 计划至关重要，特别关注先前审查调整，周末案件覆盖以及在所有服务领域进行后续文件。理想候选人将拥有强大的背景风险调整编码，同时接受实体病人的 CDI 评估，并且能够舒适地在生产驱动环境中独立工作。这一职位需要灵活的周末工作班次 （例如星期五，星期二，星期六，星期三或周四）并且完全远程，在美国批准的国家之一要求居住。主要责任：· 对住院医疗记录进行同时审查以确保准确和完整的文档。·优先调整之前的 CDI 检查并确保周末文件完整性持续。·根据需要询问提供商澄清或额外的文档，·与医生，编码人员和临床员工合作以提高文档质量和精度。· 使用3M360,Optum 和 EPIC 系统来评估和数据分析图表。·监测文档趋势，确定改善的机会。· 培养临床工作人员关于文档最佳实践和合规标准。·确保遵守所有适用的编码指导方针，法规和内部政策。要求。· 教育：高中学历或 GED 所需。·证书 （必备）:CDIP （认证文档改进从业者）或 CCDS （认证临床文档专家）. ·执照 （必备）,以下内容之一：RHIT,RHIA,RN,RRT,CCS,CCS-P 或国际/国内医学学位 (FMG/MD). ·经验：·至少2年的住院患者 CDI 经验并兼有审查责任。· 技术技能：EPIC,3M360和 Optum 平台的熟练度。·软技能：强大的分析思维，优秀沟通和关注细节。·时间表：40小时/周，8小时班级，需要周末覆盖 （例如星期五休息，周六工作或月经）. · 地点：完全远程。必须位于美国。福利客户提供全额健康保险和其他福利。最初发布在喜马拉雅。
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This is a remote position.
We are seeking a detail-oriented and experiencedInpatient Clinical Documentation Integrity (CDI) Specialist Ito join our remote team. This role is essential in supporting our client’s CDI program with a special focus onreconciliation of prior reviews, weekend case coverage, and follow-up documentationacross all service lines.
The ideal candidate will have a strong background inrisk adjustment coding,concurrent inpatient CDI review, and be comfortable working independently in aproduction-driven environment. This position requires flexibility to workweekend shifts(e.g., Friday–Tuesday, Saturday–Wednesday, or Thursday–Monday) and is fully remote, with residency required in one of the approved U.S. states.
Key Responsibilities:
- Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation.
- Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends.
- Query providers for clarification or additional documentation as needed.
- Collaborate with physicians, coders, and clinical staff to improve documentation quality and accuracy.
- Utilize3M360, Optum, and EPICsystems for chart review and data analysis.
- Monitor documentation trends and identify opportunities for improvement.
- Educate clinical staff on documentation best practices and compliance standards.
- Ensure adherence to all applicable coding guidelines, regulations, and internal policies.
Requirements
- Education:High School diploma or GED required.
- Certifications (Required):CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist).
- Licensure (Required, One of the following):RHIT, RHIA, RN, RRT, CCS, CCS-P, or an international/domestic medical degree (FMG/MD).
- Experience:
- Minimum2 years of inpatient CDI experiencewith concurrent review responsibilities.
- Recent experience (within the last 12 months) in aproduction-focused CDI role.
- Risk adjustment coding experiencestrongly preferred.
- Technology Skills:Proficiency inEPIC, 3M360, and Optum platforms.
- Soft Skills:Strong analytical thinking, excellent communication, and attention to detail.
- Schedule:40 hours/week, 8-hour shifts, with required weekend coverage (e.g., Fri–Tues, Sat–Wed, or Thurs–Mon).
- Location:Fully remote. Must be US based.
Benefits
Client offers Full Health Insurance and other benefits.
Originally posted on Himalayas