CDI Specialist: Elevate Clinical Documentation Quality

Fairview Health Services; Saint Paul (MN); On-site; USD 82,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, vision plans

Life insurance

PTO and sick time

Tuition reimbursement

Job summary

Fairview Health Services is seeking a Clinical Documentation Integrity Specialist to perform concurrent inpatient chart reviews and collaborate with physicians to improve documentation for regulatory compliance and reimbursement. The role involves identifying opportunities to refine DRG assignments and educating providers on documentation best practices.

The position requires nursing or HIM background, inpatient coding experience, and appropriate licensure or CCDS credentials.

Qualifications

• Associates degree in nursing or HIM or equivalent experience.
• RN license MN Upon Hire or RHIA/RHIT certification Upon Hire as applicable.
• 5 years inpatient coding experience or 2 years RN inpatient experience.
• Knowledge of ICD-10-CM and DRG classification systems.
• Knowledge of clinical documentation requirements for regulatory and reimbursement rules.
• Excellent interpersonal, written and verbal communication skills.
• Proficient in data analysis and computer use.
• Attention to detail and rigorous problem solving.
• Medical staff relations and collaboration with physicians.

Responsibilities

• Completes concurrent chart reviews for assigned patients within required timeframes.
• Identifies diagnoses and procedures to assign accurate DRG with coding team.
• Develops physician education strategies to improve documentation accuracy.
• Collects and analyzes data on documentation activities and DRG distribution.
• Communicates with clinical teams to explain documentation importance.
• Ensures compliance with laws, policies and standards.
• Performs other duties as assigned.

Skills

Clinical doc knowledge

DRG classification knowledge

Medical terminology

ICD-10-CM/DRG

Physician nursing practices

Interpersonal skills

Data analysis

Verbal & written comms

Analytical thinking

Attention to detail

Critical thinking

Medical staff relations

Problem solving

Written communication

Education

Associates Degree in Nursing or HIM

RN license MN Upon Hire

RHIA/RHIT certification Upon Hire

Job description

Fairview Health Services is seeking a Clinical Documentation Integrity Specialist to perform concurrent inpatient chart reviews and collaborate with physicians to improve documentation for regulatory compliance and reimbursement. The role involves identifying opportunities to refine DRG assignments and educating providers on documentation best practices.

The position requires nursing or HIM background, inpatient coding experience, and appropriate licensure or CCDS credentials.