Senior CDI Specialist: Clinical Documentation Integrity

Kaiser Permanente

Pasadena (CA)

In loco

USD 90.000 - 130.000

Tempo pieno

2 giorni fa

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Descrizione del lavoro

Kaiser Permanente in Pasadena, CA seeks a Clinical Documentation Improvement specialist to review medical records, assign codes and DRGs, and support CDI programs. The role enhances documentation accuracy and regulatory compliance, collaborating across teams to train staff and resolve documentation issues.

The ideal candidate will have inpatient CDI or related experience, relevant California licenses, and proficiency with EMR systems such as Epic.

Competenze

Minimum two (2) years of experience in an inpatient acute care or clinical setting.
Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum four (4) years experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field OR Minimum seven (7) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
Nurse Practitioner Certificate (California) required at hire OR Registered Nurse License (California) required at hire OR Doctor of Medicine License (California) required at hire OR Physician Assistant License (California) required at hire

Mansioni

Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers.
Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies.
Works on clinical documentation reviews by reviewing caseloads to promote accuracy and completeness of clinical documentation; ensuring proper coding and DRG assignment in collaboration with senior team members.
Integrates processes to improve clinical documentation by supporting CDI program reviews and implementing documentation improvement initiatives.
Conducts staff training and education by collaborating on CDI training and developing programs for clinical documentation education/training.
Drives regulatory compliance by completing reviews and audits in line with federal, state, and local regulations and documenting non-compliance when applicable.