CDI专员，注册护士/学士学位，CCDS（全职/远程）（需CDI经验）
CDI Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)
关于我们：
我们的目标是帮助客户实现其财务健康目标。在报销流程中，我们可扩展的解决方案和临床专业知识帮助解决程序性需求。通过领先的技术赋能我们的团队，使分析指导我们的解决方案，并确保我们达成目标。
我们通过投资于您来打造长期的职业生涯。我们致力于创造一个促进您职业发展和个人成长的环境，因为我们相信您的成功就是我们的成功。
职位概要：
CDI专家将与医生、护士、其他患者照护者及医疗记录编码人员进行广泛合作，以提高所提供护理和编码的文档质量、具体性、准确性和完整性。CDI专家将审查医疗记录，寻找诊断澄清和有效性机会，涉及DRG分配、疾病严重程度、死亡风险和病例组合数据，以及用于衡量和报告医生和设施结果的临床信息的及时、准确和完整文档。这些目标将通过遵循AHIMA指南和CorroHealth政策和程序，在适当的时候进行病历审查和查询来实现。
主要职责和责任：
注意：以下主要职责和责任旨在描述该职位的一般职责和责任，并非对该职位职责的详尽陈述。该职位可能执行以下大部分或全部主要职责。具体任务、责任或能力可能在团队成员的绩效目标中进行说明，如由团队成员的直接领导团队所规定。
- 执行临床文档任务，满足每个项目的生产率和质量标准。
- 遵守AHIMA和ACDIS认可的所有编码和临床文档改进指南。
- 对临床文档进行审查，并在适当的时候发出查询。
- 审查医疗记录，确保疾病严重程度和死亡风险的完整性和准确性。
- 准确且及时地记录审查。
- 展示对DRG支付问题、文档机会和临床文档要求的知识。
- 分析发现，识别产生的错误的潜在原因。
资格和要求：
- 具有远程办公经验，能够使用EMR和其他电子工具。
查看英文原文
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
- Conduct clinical documentation tasks, meeting productivity and quality standards as set for each project.
- Adhere to all coding and clinical documentation improvement guidelines as endorsed by AHIMA and ACDIS.
- Perform review on clinical documentation and issue queries when appropriate.
- Review medical records for completeness and accuracy for severity of illness and risk of mortality.
- Accurate and timely record review.
- Demonstrate knowledge of DRG payer issues, documentation opportunities, and clinical documentation requirements.
- Analyze findings and identify potential root causes of produced errors.
Qualifications and Requirements:
- Experience with telecommuting, working with EMRs and other electronic tools.
- Strong analytical skills.
- Strong Microsoft Office skills.
- Works well with numbers.
- Strong team player.
- Ability to work with multiple and diverse clients and projects.
- Ability to work with minimal supervision.
- Ability to maintain and access multiple files.
- Assure that work product is completed with high levels of accuracy and attention to detail.
Education & Experience:
- CCDS or CDIP certification required. **Or be willing to get CCDS certification within 6 months of employment.
- Current RN license.
- Three years CDI experience.
- Two years or more clinical experience in an acute care setting preferred.
We Offer:
- Quality of life with a remote predictable, full-time schedule
- Opportunities for career growth within the organization
- Medical, Dental, Vision coverage, 401K with match
- Long-term disability insurance, life insurance and more
- Holidays Time and ample paid time off
- Allowance for CME and/or license renewal
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Originally posted on Himalayas