CDI Specialist: DRG Accuracy & Physician Education

Cooper Norcross University Hospital; United States; Remote; USD 47,000 - 77,000; Full time

Job summary

Cooper Norcross University Hospital is seeking a Clinical Documentation Specialist to ensure documentation accurately reflects patient diagnoses and severity. The role bridges clinicians and coding professionals to support proper reimbursement and DRG accuracy.

The position requires 3-5 years of experience, RN licensure in any state (preferred), and a health info background. Collaboration with the HIM team and physicians is essential for success.

Qualifications

• 3-5 years of experience required.
• RN licensure in any state preferred.
• Bachelor's degree or higher typically required in health information roles.

Responsibilities

• Review patient medical records to ensure documentation reflects diagnosis, treatments and illness severity.
• Bridge gaps between clinicians and coding professionals to ensure complete, compliant records.
• Review inpatient records for clear, concise, legible documentation reflecting severity and services.
• Generate queries to clarify physician documentation when information is incomplete or conflicting.
• Identify gaps in clinical documentation and coordinate with physician advisor for clarification.
• Collaborate with HIM leadership and coders to improve DRG accuracy.
• Provide education to physicians, nurses and staff to improve documentation practices.
• Review cases denied for medical necessity and assist with information to support appeals.

Skills

Clinical documentation

Experience 3-5 yrs

Communication

RN background

Education

High School/GED Required

Bachelor's Degree Required

Bachelor's of Science in Nursing preferred

Job description

Cooper Norcross University Hospital is seeking a Clinical Documentation Specialist to ensure documentation accurately reflects patient diagnoses and severity. The role bridges clinicians and coding professionals to support proper reimbursement and DRG accuracy.

The position requires 3-5 years of experience, RN licensure in any state (preferred), and a health info background. Collaboration with the HIM team and physicians is essential for success.