Remote CDI Specialist — ICD-10, Denials & Mortality Reviews

Mosaic Life Care; Central City (CO); Remoto; USD 65.000 - 90.000; Tempo pieno

Vantaggi offerti da questo lavoro

Concierge services

Employee lounge

Wellness programs

Free parking

On-site/virtual health clinics

Descrizione del lavoro

Mosaic Life Care seeks a CDI-focused Registered Nurse to conduct initial and retrospective reviews of clinical documentation. You will query providers, support first and second level appeals, and collaborate with physician advisors to ensure accurate DRG coding and mortality reviews.

The role requires RN licensure, 3 years ICU/critical care experience, and certification in clinical documentation within 2 years. Remote options are available for eligible states.

Competenze

• Nursing degree requirements and licensure details.
• Experience in ICU/critical care settings preferred.
• RN license required or compact state licensure where applicable.
• Certifications in clinical documentation (CCDS/CDIP) required within 2 years.

Mansioni

• Perform basic to intermediate CDI reviews and re-reviews of clinical documentation.
• Submit queries to providers and participate in first/second level appeals.
• Collaborate with physician advisor on denials and mortality reviews.
• Document ICD-10-CM/PCS coding and DRG assignments.
• Coordinate with coders and interdisciplinary team; participate in training and quality improvement.

Conoscenze

Data handling

Communication

Phone support

Hand-eye coordination

Writing

Clinical skills

Formazione

Associate's Degree - Nursing

Bachelor's Degree - Nursing

Descrizione del lavoro

Mosaic Life Care seeks a CDI-focused Registered Nurse to conduct initial and retrospective reviews of clinical documentation. You will query providers, support first and second level appeals, and collaborate with physician advisors to ensure accurate DRG coding and mortality reviews.

The role requires RN licensure, 3 years ICU/critical care experience, and certification in clinical documentation within 2 years. Remote options are available for eligible states.