Inpatient CDI Specialist: Documentation & Utilization

Major Hospital; Shelbyville (IN); On-site; USD 65,000 - 90,000; Full time

Job summary

Major Hospital is seeking a Clinical Documentation Specialist to review and analyze medical records, identifying relevant diagnoses and procedures for distinct patient encounters. The role requires staying current with federal and state regulations impacting prospective payment and clinical treatment changes.

Additionally, the position includes Utilization Management duties, evaluating medical necessity, appropriateness, and efficiency of services, and performing queries when physician

Qualifications

• Strong computer skills required.
• Excellent written and verbal communication abilities.
• 3+ years of medical coding experience.
• Experience with 3M CDIS software preferred.

Responsibilities

• Review and analyze medical records to identify relevant diagnoses and procedures for patient encounters.
• Perform Utilization Management duties: evaluate medical necessity, appropriateness, and efficiency of care.
• Submit queries when physician documentation is vague or missing.

Skills

Computer skills

Communication skills

Medical coding experience

3M CDIS software

Education

Bachelor's degree or higher

Tools

3M CDIS software

Job description

Major Hospital is seeking a Clinical Documentation Specialist to review and analyze medical records, identifying relevant diagnoses and procedures for distinct patient encounters. The role requires staying current with federal and state regulations impacting prospective payment and clinical treatment changes.

Additionally, the position includes Utilization Management duties, evaluating medical necessity, appropriateness, and efficiency of services, and performing queries when physician