CDI Specialist: Elevate Documentation & Reimbursement

Sky-Lakes-Medical-Center; Klamath Falls (OR); On-site; USD 80,000 - 126,000; Full time

Job summary

Ultipro in Oregon is seeking a Clinical Documentation Improvement Specialist to support clinical documentation accuracy and revenue integrity in a hospital setting. The role focuses on reviewing records, identifying opportunities for improvement in documentation, and collaborating with physicians to obtain timely clarifications.

The candidate will have RN/NP/PA background with hospital CDI experience, strong organizational skills, proficiency with EHRs and MS Office, and the ability to work

Qualifications

• : The ideal candidate has 5+ years of recent hospital experience as RN or 4 years as NP/PA.
• : Current Oregon RN, NP, LPN, or PA license is required.
• : Proficiency with EHRs and Windows-based software (MS Office) is required.
• : Ability to manage multiple priorities and meet productivity targets.

Responsibilities

• Identifies records for review based on prioritization by length of stay, diagnosis, and other CDI strategies.
• Reviews records and identifies opportunities to improve physician documentation for MS-DRG, MCCs/CCs.
• Identifies opportunities for more precise and accurate documentation.
• Formulates clinically credible documentation clarifications.
• Communicates with physicians to obtain clarifications in a timely and compliant manner.
• Follows up to ensure a high rate of query responses.
• Monitors CDI process to meet program goals.
• Assists Inpatient CDI Manager to optimize high-volume diagnoses.
• Collaborates with HIM staff to resolve discrepancies.

Skills

Strong organizational skills

Analytical skills

MS Office proficiency

CDMP training readiness

Education

Current Oregon RN/NP/LPN/PA license

Tools

Microsoft Office

Electronic Health Records

Job description

Ultipro in Oregon is seeking a Clinical Documentation Improvement Specialist to support clinical documentation accuracy and revenue integrity in a hospital setting. The role focuses on reviewing records, identifying opportunities for improvement in documentation, and collaborating with physicians to obtain timely clarifications.

The candidate will have RN/NP/PA background with hospital CDI experience, strong organizational skills, proficiency with EHRs and MS Office, and the ability to work