Clinical Documentation Integrity Specialist III

University Of Michigan; Ann Arbor (MI); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare institution seeks a Clinical Documentation Integrity Specialist III to lead and perform complex reviews of clinical documentation. This remote role involves collaboration with healthcare teams to ensure accurate patient documentation, impacting care quality and reimbursement. The ideal candidate will have a Bachelor's degree in health information technology and relevant certifications, along with extensive CDI experience. Join us in enhancing healthcare quality and outcomes.

Qualifications

• 3-5 years of CDI experience with coded data.
• Experience analyzing Vizient risk data and AHRQ quality measures.

Responsibilities

• Perform high-level, complex secondary case reviews.
• Collaborate with healthcare team for accurate documentation.
• Develop and conduct ongoing education for new staff.

Skills

Communication

Leadership

Proficiency in productivity

Education

Bachelor's degree in health information technology

Certification as RN or NP

Tools

CDI Software

Job description

Clinical Documentation Integrity Specialist III

The Clinical Documentation Integrity Specialist III (CDIS III) role is entirely remote, encompassing Team Lead responsibilities and second-level review duties. These roles are crucial in enhancing the quality and completeness of provider-based clinical documentation within inpatient medical records.

CDIS III - Second Level Reviewer; performs high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient outcomes, PSI90/HAC reviews, clinical denials and appeals and complexity of patient care. Serves as key resource for CDI/Coding/Quality. The CDI Second Level Reviewer works in collaboration with CDI & quality leadership, CDI specialists, coders, quality analysts, providers, and other members of the healthcare team to ensure accurate, high-quality clinical documentation to support Michigan Medicine initiatives.

Responsible for facilitating accurate representation of a patient's clinical status that affects present on admission (POA), severity of illness (SOI), risk of mortality (ROM) scores, as well as hospital reimbursement and the level of services provided. Collaborate with physicians and other clinical staff to ensure comprehensive documentation that supports the correct coding assignments at the time of discharge. The role includes the development and implementation of an education plan targeted at providers, which will convey the principles of precise and complete documentation. This plan will also highlight the impact that documentation has on SOI, ROM, and length of stay (LOS).

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

SECOND LEVEL REVIEWER:

• Performs high-level, complex, timely secondary case reviews concurrently and retrospectively to identify potential gaps or opportunities to facilitate improved provider documentation.
• Ensure clinical documentation accurately reflects the level of care rendered, severity of illness, risk of mortality, and clinical validation (in compliance with government and other regulations).
• Applies advanced knowledge of CMS star rating, Vizient, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities.
• Completes quality reviews focused on CDI quality elements, such as Mortality, Hospital Acquired Conditions (HAC), and other publicly reported patient quality or safety metrics (i.e. AHRQ Patient Safety Indicators).
• Identify trends and key areas for improvement in querying, coding, and documentation integrity.
• Makes recommendation of possible refinement of principal diagnosis, secondary diagnoses, and/or procedures based on clinical data to facilitate appropriate DRG assignment.
• Records review findings and other data elements accurately into CDI Software and other data mechanisms to support data integrity for reporting.
• Effectively and appropriately communicates and collaborates with providers, HIM/coding, quality, CDI, and other members of the healthcare team.
• Assists with concurrent and retrospective CDI case reviews, quality audits, and education as deemed necessary by CDI Leadership.
• Participates in meetings, including providing feedback and identifying trends and opportunities, presentations for educational opportunities, and any other needs identified by the CDI leaders.
• Utilize the provided CDI software to determine appropriate DRG, SOI, ROM, Risk and POA assignment.
• Evaluate clinical documentation such as signs, symptoms, lab results, diagnostic information and treatment plans to determine documentation improvement opportunities and appropriately clarify with providers.
• Initiate communication with clinicians through the formal query process.
• Prepare case-specific documentation examples and PowerPoint presentations to be given to clinical treatment teams and departments as it relates to documentation and the EHR.
• Develops and conducts ongoing education for new staff, including new CDI Specialists, physicians, and nursing.
• Follow the guidance of the HIM Coding-CDI Query Policy
• Follow the guidance of the Query escalation policy and the Standards of practice for quality and production/productivity.
• Requires proficiency in abstracting and data entry into all databases used for CDI.
• Participate in and demonstrate an understanding of the Michigan Medicine annual SMART goal/evaluation process & CORE values.
• Demonstrate initiative by continuous expansion of knowledge and skills.
• Participate in department/unit activities including, but not limited to staff meetings, in-services, workgroups & trial groups.
• Involvement in third party audit denials and appeal processes, including but not limited to reviewing denials and submitting supporting documentation/evidence for defense.
• Perform other duties as assigned to maintain the efficiency of the department.

Required Qualifications*

• A Bachelor's degree (or the equivalent education and experience) in health information technology and registration with the American Health Information Management Association as a RHIT or RHIA and or certification as an RN, or a Bachelor's degree and certification in Nursing and or NP, PA or MD.
• 3-5 years of CDI experience working with coded data associated with clinical documentation
• Two years in the role of CDIS at Michigan Medicine
• Experience analyzing Vizient risk data and AHRQ quality measures
• Either CCDS or CDIP credential
• Demonstration of proficiency in productivity, communication & leadership attributes
• Adhering to the MM remote work agreement

Modes of Work

The work requirements allow for the majority or all the work to be completed offsite. On occasion, the employee may be required and must be available to work onsite if necessitated by unit leadership or their designee and/or the job requirements.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process maybegin as early as the eighth day after posting.Thisopening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.

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