Remote CDI Specialist – RN, CCDS/CDIP Eligible

Mosaic Life Care; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Mosaic Life Care is seeking a Clinical Documentation Improvement (CDI) Specialist to review hospital admissions, code ICD-10-CM/PCS, and support physician advisors on denials and appeals.

Requirements include an Associate's degree in Nursing (Bachelor's preferred), 3 years of ICU/critical care experience, and RN licensure. CCDS or CDIP certification is expected within 2 years of hire.

Qualifications

• Associate's Degree in Nursing required.
• Bachelor's Degree in Nursing preferred.
• 3 years clinical ICU/critical care experience required.
• 1 year experience in clinical documentation integrity preferred.
• RN licensure in state or compact required upon hire.
• CCDS certification required within 2 years or CDIP within 2 years.

Responsibilities

• Conducts initial, concurrent and retrospective reviews of clinical documentation for admissions; abstracts data from charts and systems.
• Assigns ICD-10-CM/PCS codes and baseline/working DRG/ APR-DRG.
• Identifies need to clarify documentation with providers via queries.
• Reviews denials and analyzes for appeal recommendations; prepares first and second level denial appeals.
• Collaborates with interdisciplinary team to ensure accurate documentation and coding.
• Participates in staff training and departmental improvement activities; aims for CDI quality and productivity goals.
• Other duties as assigned.

Skills

Data entry

Clinical skills

Communication

Critical thinking

Flexibility

Teamwork

Detail oriented

Keyboarding

Age-specific care

Education

Associate's Degree - Nursing

Bachelor's Degree - Nursing

Job description

Mosaic Life Care is seeking a Clinical Documentation Improvement (CDI) Specialist to review hospital admissions, code ICD-10-CM/PCS, and support physician advisors on denials and appeals.

Requirements include an Associate's degree in Nursing (Bachelor's preferred), 3 years of ICU/critical care experience, and RN licensure. CCDS or CDIP certification is expected within 2 years of hire.