Inpatient CDI Specialist: Elevate Documentation & Care

Macon Community Hospital; Lafayette (TN); On-site; USD 44,000 - 59,000; Full time

Job summary

Macon Community Hospital in Lafayette, TN is seeking a Clinical Documentation Integrity Specialist to oversee inpatient documentation and promote accurate coding aligned with AHIMA guidelines. You will perform concurrent and retrospective reviews, engage with providers to clarify diagnoses and procedures, and support the Coding Team and Health Information Management professionals.

Requires an active RN license and 3+ years CDI experience in an inpatient setting, with ICD-10-CM/PCS, DRG

Qualifications

• Active RN license required.
• 3+ years working experience as CDI Specialist for Inpatient Facility.
• Proficiency in ICD-10-CM/PCS and DRG payment models.
• Excellent clinical communication and ability to work with Providers and Health Information Management Professionals.

Responsibilities

• Performs concurrent and retrospective review of inpatient records for documentation quality.
• Communicate with providers to clarify diagnoses, procedures, and quality indicators.
• Generates compliant clinical queries for clarifying Principal Diagnoses, Secondary Diagnoses, Procedures, SOI, ROM and Quality Indicators.
• Collaborates with Providers, Case Managers, Coding Team and Health Information Management Professionals to ensure coding accuracy and address DRG discrepancies.
• Reports to Hospital Leadership and designated Facility Director; supports Utilization Review and discharge planning.

Education

Active RN License

Job description

Macon Community Hospital in Lafayette, TN is seeking a Clinical Documentation Integrity Specialist to oversee inpatient documentation and promote accurate coding aligned with AHIMA guidelines. You will perform concurrent and retrospective reviews, engage with providers to clarify diagnoses and procedures, and support the Coding Team and Health Information Management professionals.

Requires an active RN license and 3+ years CDI experience in an inpatient setting, with ICD-10-CM/PCS, DRG