Clinical Documentation Integrity Specialist (CDI)

Summa Health

Akron (OH)

On-site

USD 52,000 - 77,000

Full time

2 days ago

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Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

Paid time off

Retirement plan

Flexible Spending Accounts

Employee Assistance Program

Identity Theft Protection

Pet Insurance

Education Assistance

Daily Pay

Job summary

Summa Health System in Akron, OH, is seeking a Clinical Documentation Integrity Specialist. This full-time day position ensures accurate inpatient coding and DRG assignments by documenting the medical record and reviewing SOI, ROM, and readmission criteria.

The role collaborates with Physician Advisors to ensure concise documentation and appropriate reimbursement. Requirements include graduation from a health information management or nursing program, professional certification preferred

Qualifications

Graduate of accredited health information management or coding program or candidacy-approved school.
OR graduate of accredited nursing program.
Certification preferred: RHIA, RHIT, CCS, CCDS, CDIP, CPCH, or CDIP.
One year medical records experience; two years nursing experience in acute care.

Responsibilities

Facilitates documentation to support accurate DRG assignments.
Educates physicians on documentation needs via the query process.
Works with physician advisors and physicians to ensure documentation guidelines for coding and reimbursement.
Elevates nursing or physician questions to the Chief Nurse Executive when needed.

Skills

Communication

Leadership

Interpersonal skills

Teamwork

Compliance knowledge

Coding guidelines

Clinical processes

Education

Health information/coding program graduate

Nursing program graduate

Certification preferred (RHIA/RHIT/CCS/CDIP/CPCH)

Job description

Clinical Documentation Integrity Specialist

Full-Time Days

Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary

Facilitates concurrent documentation of the medical record to achieve accurate inpatient coding and DRG assignments to ensure the principal diagnosis, comorbidities and principal procedure are appropriate and supported for reimbursement. Reviews chart documentation for quality metric indicators for severity of illness (SOI), risk of mortality (ROM), and risk adjusters (readmission criteria). Educates physician on documentation needs through the query process. Directly works with Physician Advisors as well as the patient’s physician to establish concise physician documentation; ensures physician awareness of documentation guidelines in relation to coding guidelines that support appropriate reimbursement. If any type of nursing judgement, nursing practice or medical judgement questions should arise, those questions/concerns will be elevated to the Chief Nurse Executive (CNE).

Formal Education Required

a. Graduate of accredited health information management or coding program or a school accepted for candidacy status from an accrediting body
OR
b. Graduate of an accredited school of professional nursing or a school accepted for candidacy status from an accrediting body
c. RHIA, RHIT, CCA, CCS, CCDS, CDIP, CPCH, or CDIP certification preferred

Experience & Training Required

a. One (1) year medical records experience (practicum experience will be counted) if graduate of health information management or coding program
b. Two (2) years professional nursing experience which should include a combination of medical, specialty and/or surgical care in an acute care setting or utilization review with DRG validation experience if minimum education level is graduate of nursing school

Other Skills, Competencies and Qualifications

a. 75% or better on a CDI Specialist Test
b. Excellent communication both verbally and written, leadership, organization and interpersonal skills.
c. Ability to work within a team environment yet self‑motivated, facilitate strategic development, knowledge of accrediting, licensing and compliance requirements
d. Extensive knowledge of coding guidelines required
e. Extensive knowledge of clinical processes required
f. Ability to work in a sometimes stressful environment
g. Population Specific Competency: ability to effectively interact with populations of patients/customers with an understanding of their needs for self‑respect and dignity.

Level of Physical Demands

a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently.

Equal Opportunity Employer/Veterans/Disabled

$37.40/hr - $56.11/hr

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.