CDI Specialist

Sacbar; Plano (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401K with match

Long-term disability

Life insurance

Paid time off

CME/license renewal allowance

Job summary

Sacbar is seeking a CDI Specialist to collaborate with physicians, nursing staff, and coding teams to improve documentation quality for DRG assignment and outcomes.

The role emphasizes remote, full-time work with AHIMA guidelines and requires CCDS/CDIP or RN with CDI experience; opportunities for growth and benefits are included.

Qualifications

• CCDS or CDIP certification required or willing to obtain within 6 months of employment.
• Current RN license.
• Three years CDI experience.
• Two years or more clinical experience in an acute care setting preferred.
• Experience with telecommuting and EMRs; strong analytical and MS Office skills.

Responsibilities

• Collaborate with physicians, nursing staff, and coding staff to improve documentation quality and accuracy.
• Review medical records for opportunities for diagnosis clarification and DRG relevance.
• Place queries when appropriate following AHIMA/CorroHealth guidelines.
• Maintain timely and complete documentation for outcome measurement.
• Identify root causes of documentation errors and recommend improvements.
• Ensure productivity and quality standards across projects.

Skills

EMR systems experience

Analytical skills

MS Office proficiency

Numbers oriented

Team player

Client/project management

Minimal supervision

Education

RN license

CDDS or CDIP certification

Three years CDI experience

Acute care experience 2+ years

Job description

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.

• 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