RN CDI Specialist - Elevate Clinical Documentation

e4health; Pittsburgh (Allegheny County); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

401(k) with company match

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short/Long term disability insurance

PTO

Job summary

e4health, based in the United States, is seeking a Clinical Documentation Integrity Consultant to review patient records and ensure accurate and complete documentation reflecting illness severity. You will collaborate with providers and coders to educate on chart data and ensure alignment with client needs.

The role requires a current RN license, 3+ years of CDI experience, and proficiency with Microsoft Office.

Qualifications

• 3+ years of clinical documentation experience.
• Smarter DX experience.
• Current RN license.
• Strong analytical skills to clinically evaluate the medical record.
• Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook).
• Ability to communicate effectively with e4health management and clients.
• Maryland APR-DRG experience preferred.

Responsibilities

• Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures.
• Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit.
• Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA.
• Maintain strict confidentiality of all patient information in accordance with HIPAA.
• Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics.
• Work closely with the client, co-workers, and management to meet the specific needs of each assignment in alignment with core values.
• Effectively utilize computer software based on the specific client requirements.

Skills

Clinical docs

Smarter DX

RN license

Analytical skills

MS Office

Client communication

APR-DRG experience

Education

BSN

CDIP or CCDS certification

Tools

MS Excel

MS Word

MS Outlook

Job description

e4health, based in the United States, is seeking a Clinical Documentation Integrity Consultant to review patient records and ensure accurate and complete documentation reflecting illness severity. You will collaborate with providers and coders to educate on chart data and ensure alignment with client needs.

The role requires a current RN license, 3+ years of CDI experience, and proficiency with Microsoft Office.