CDI Second Reviewer - Inpatient CDI Expert (Remote)

ACDIS Pediatric Networking Group; United States; Remoto; USD 90.000 - 120.000; Tempo pieno

Descrizione del lavoro

SSM Health is seeking a Clinical Documentation Specialist - Second Reviewer to perform advanced reviews ensuring accurate patient narratives in medical records. The role emphasizes inpatient CDI with strong mortality scoring experience and CMS rule compliance.

Remote candidates are welcome if based in WI, OK, IL or MO. A CCDS certification and several years in clinical documentation are highly preferred to support program development and risk adjustment initiatives.

Competenze

• Two years in an acute care setting with two years of experience in clinical documentation, or 4 years of experience in clinical documentation with a CCDS certification.

Mansioni

• Reviews records for documentation integrity and mortality scoring.
• Collaborates with CDI and mortality findings teams.
• Keeps knowledge of CMS requirements and communicates to staff during reviews.
• Monitors mortality models, O/E ratios, DRG frequency and industry trends.
• Acts as liaison between coding staff and physicians; identifies improvement opportunities.
• Maintains documentation of CDI opportunities and standard-work enhancements.
• Applies evidence-based practice to nursing care aligned with patient age-specific needs.
• Maintains safety and performs other duties as assigned.

Conoscenze

CDI experience

Mortality scoring

CMS requirements

Clinical documentation

Liaison with physicians

Process improvement

Formazione

Nursing or allied health degree + CCDS

Strumenti

CCDS certification

Descrizione del lavoro

SSM Health is seeking a Clinical Documentation Specialist - Second Reviewer to perform advanced reviews ensuring accurate patient narratives in medical records. The role emphasizes inpatient CDI with strong mortality scoring experience and CMS rule compliance.

Remote candidates are welcome if based in WI, OK, IL or MO. A CCDS certification and several years in clinical documentation are highly preferred to support program development and risk adjustment initiatives.