RN CDI Specialist: Elevate Documentation & Reimbursement

R1 RCM, Inc.; Central City (KY); In loco; USD 52.000 - 98.000; Tempo pieno

Descrizione del lavoro

R1 RCM Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to conduct concurrent and retrospective reviews of inpatient medical records, improving documentation quality and coding accuracy.

You will engage with physicians to obtain documentation and support appropriate severity of illness and resource use. You will collaborate with CDI leadership and cross-functional teams, educating clinicians and staff on documentation standards and CMS guidelines while staying current with

Competenze

• Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred).
• An active US RN license is required.
• Must have front line CDI experience in an acute care hospital.
• Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department.
• Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms.

Mansioni

• Initiates physician interaction through the physician query process and rounding to obtain documentation for accurate coding and compliance.
• Educates physicians and staff on documentation requirements, coding guidelines, and reimbursement policies.
• Utilizes hospital coding standards, CMS guidelines, and Coding Clinic Guidelines to assign DRGs with the highest specificity.
• Collaborates with coders, auditors, quality improvement teams, and other stakeholders to resolve documentation issues and improve coding accuracy.
• Stays updated on the latest developments in clinical documentation standards, coding rules, and regulatory requirements.
• Conducts focused reviews identified by CDI leadership: Mortality reviews, PSI reviews, and other projects.

Conoscenze

CDI practices

Front line CDI

RN license

Formazione

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Strumenti

EMR platforms

CDI platforms

Descrizione del lavoro

R1 RCM Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to conduct concurrent and retrospective reviews of inpatient medical records, improving documentation quality and coding accuracy.

You will engage with physicians to obtain documentation and support appropriate severity of illness and resource use. You will collaborate with CDI leadership and cross-functional teams, educating clinicians and staff on documentation standards and CMS guidelines while staying current with