CDI Specialist I - Elevate Documentation & Coding

Prisma Health; Columbia (SC); On-site; USD 70,000 - 90,000; Full time

Job summary

Prisma Health is seeking a Clinical Documentation Integrity professional to review medical records, identify documentation opportunities, and ensure accurate coding reflecting severity of illness, risk of mortality, and length of stay.

The role involves querying providers, reconciling records, and collaborating with coding, case management and quality teams to support hospital metrics. Day shift in Columbia, SC.

Qualifications

• Associate degree or higher in Nursing, health information management, or related field.
• Two years nursing coding or related experience in acute care settings.
• In lieu of education/experience, MD/DO/PA/NP may be considered as substitution.
• RHIA/RHIT/CCS/CIC or related licensure is required or recognized.

Responsibilities

• Reviews medical records to identify documentation opportunities for accurate severity of illness, risk of mortality, length of stay and hospital quality metrics.
• Submits provider queries and reconciles discharged records to ensure precise code assignment.
• Collaborates with Coding and other departments to maintain high-quality, complete documentation.
• Stays current with coding guideline changes and compliant query policies.
• Assigns DRG for discharge planning and CDI use; acts as resource for team.

Skills

Computer skills

Communication skills

CDI knowledge (IPPS/ICD-10)

Education

Associate degree in Nursing / Health Information Management

RHIA/RHIT/CCS/CIC licensure or RN license

MD/DO/PA/NP (in lieu of education/experience)

Job description

Prisma Health is seeking a Clinical Documentation Integrity professional to review medical records, identify documentation opportunities, and ensure accurate coding reflecting severity of illness, risk of mortality, and length of stay.

The role involves querying providers, reconciling records, and collaborating with coding, case management and quality teams to support hospital metrics. Day shift in Columbia, SC.