Clinical Documentation Integrity Specialist
加入一个提升 CDI 卓越的团队！在 UASI,我们通过专家 CDI 咨询提高临床文档质量和准确性的使命。随着我们的服务提供不断增长，我们正在寻找经验丰富和有动机的临床文献改进 (CDI) 专业人员来完全远程能力地加入我们的专门团队。这项角色对于支持编码数据的准确性，遵守法规要求以及改善临床结果报告的质量至关重要。候选人将拥有理想的临床背景，优秀的分析技能和确保准确和符合临床文稿的热情。关键责任 · 对医疗记录的文件进行完整性，准确性和合规性的审查和评估。· 与医生，护士和编码专业人员合作以确保适当的临床文档。·确定支持编码精度，退款和临床结果的文档改进机会。·分析医疗记录以确保文档支持质量护理和适当的退款。·制定符合公式的，临床合理的医生的查询。资格：·经验：2 年的临床纪录改 (CDI) 经验。·认证：注册护士 (RN). · 了解 ICD-10-CM,MS-DRGs,编码指南和合规标准。· 优秀的沟通，批判性思维和组织技能。· 使用 MS Office,电子邮件，VPN,虚拟机，双因素认证和视频会议工具 （MS 团队，Zoom 等）的舒适。· 3M 和 Epic 的经验最好但不必需。为什么 UASI?我们认为投资我们的员工是成功的关键。作为你的才能，我们提供全方位福利包，PTO 和最高薪水！额外的福利包括：· 合作，使命驱动的团队环境。· 机会持续学习，教育和专业增长。你的专业知识和投入值得重视的领导力，准备好改变并发展职业生涯吗？我们很想听到你的话！
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Join a Team That’s Elevating CDI Excellence!
At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated Clinical Documentation Improvement (CDI) professionals to join our dedicated team in a fully remote capacity.
This role is critical to supporting the accuracy of coded data, compliance with regulatory requirements, and improving the quality of clinical outcomes reporting. The ideal candidate will have a clinical background, excellent analytical skills, and a passion for ensuring accurate and compliant clinical documentation.
Key Responsibilities
- Review and evaluate medical record documentation for completeness, accuracy, and compliance.
- Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.
- Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes.
- Analyze medical records to ensure documentation supports quality care and appropriate reimbursement.
- Formulate compliant, clinically sound physician queries.
Qualifications:
- Experience: 2 years of clinical documentation improvement (CDI) experience.
- Certification: Registered Nurse (RN)
- Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards.
- Excellent communication, critical thinking, and organizational skills.
- Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.).
- Experience using 3M and Epic preferred but not required.
Why UASI?
We believe that investing in our people is key to our success. In return for your talents, we offer a full benefits package, PTO and top pay! Additional benefits include:
- Collaborative, mission-driven team environment.
- Opportunities for continuous learning, education and professional growth.
- Leadership that values your expertise and input
Ready to make a difference and grow your career? We would love to hear from you!
Originally posted on Himalayas