Remote-Eligible CDI Specialist | RN, ICD-10 Expert

Mosaic Life Care; Lexington (KY); A distancia; USD 70.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Concierge services

Employee lounge

Wellness programs

Free covered parking

Free on-site and virtual healthclinics

Descripción de la vacante

Mosaic Life Care seeks a CDI reviewer (RN) to perform basic to intermediate clinical documentation integrity reviews, prepare appeals with physician input, and support accurate coding for admissions. You will work with coding staff, physicians, and the care team to ensure documentation supports severity of illness and risk of mortality.

Responsibilities include data abstraction, DRG assignment, and conducting mortality and quality reviews, with opportunities for professional development through

Formación

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

Responsabilidades

• Works under the Manager to complete basic to intermediate CDI reviews and re-reviews, submit queries to providers, complete first and second appeal levels.
• Evaluates and partners with physician advisor on first and second level appeals, denial tracking.
• Rounding on patients, mortality reviews and second level reviews are performed.
• Review and assign ICD-10-CM/PCS codes and DRG based on Official Coding Guidelines.
• Conducts initial, concurrent and retrospective reviews of clinical documentation for selected admissions.
• Abstracts data from charts and systems using Official Coding Guidelines and Official Query Guidelines.
• Communicates with coders to ensure correct DRG assignment and seeks feedback for improvement.
• Collaborates with interdisciplinary team for accurate documentation and coding.
• Participates in education and quality improvement activities.

Conocimientos

Communication

Critical thinking

Teamwork

Educación

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Descripción del empleo

Mosaic Life Care seeks a CDI reviewer (RN) to perform basic to intermediate clinical documentation integrity reviews, prepare appeals with physician input, and support accurate coding for admissions. You will work with coding staff, physicians, and the care team to ensure documentation supports severity of illness and risk of mortality.

Responsibilities include data abstraction, DRG assignment, and conducting mortality and quality reviews, with opportunities for professional development through