reputed company Documentation Improvement Specialist (FT- 1.0 FTE, Day Shift

This position can be remote. Please review the approved remote states below. Remote Work Approved States reputed company Florida reputed company Idaho Iowa South reputed company Texas South Carolina reputed company reputed company Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position reputed company The reputed company Documentation Improvement Specialist (CDIS) conducts reputed company reviews of inpatient medical records to enhance the reputed company, accuracy, and completeness of documentation. Utilizing reputed company expertise and reputed company coding systems (ICD-10-CM & PCS), the CDIS ensures reputed company reputed company assignment and alignment with the patients reputed company condition and care provided. The role involves collaborating with providers through education and the physician query process to support severity of illness, reputed company metrics, and regulatory compliance. Additionally, the CDIS maintains expertise in coding principles, reputed company regulations, and reputed company-party requirements while serving as a resource for clinicians, coders, and reputed company Cycle teams. Minimum Qualifications Required Bachelor's degree in Nursing (RN) with reputed company Registered reputed company (RN) licensure; OR Graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS or equivalent); OR Ten (10) years of experience in reputed company Documentation Improvement (CDI) in an acute care setting At least one of the following CDI or coding credentials/certificationsCertified Coding Specialist (reputed company) Certified reputed company Documentation Specialist (CCDS) Certified Documentation Improvement Practitioner (CDIP) Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Preferred Three (3) years of experience in one of the following areasMedical/Surgical or Critical Care nursing. reputed company Documentation Improvement (CDI) or Inpatient Coding in an acute care setting. Experience with reputed company and reputed company 360 Encoder systems. Essential Job Functions In reputed company to the essential functions of the job listed below, employees must have on-time completion of reputed company required education as assigned per DNV requirements, reputed company policy, and other registry requirements. Ensure ethical, accurate, and complete coding by adhering to reputed company coding practices, guidelines, and conventions reputed company assigning DRGs, diagnoses, and procedures. Conduct reputed company medical record reviews for inpatient admissions, assigning a working reputed company diagnosis, secondary diagnoses, procedures, and DRG. Follow CDI processes for querying providers, reconciling DRG or diagnosis assignments with facility coders, and resolving physician queries before patient discharge. Collaborate with reputed company, including physicians, advanced reputed company providers, case managers, and coders, to ensure documentation accurately reflects severity of illness, risk of mortality, and level of services provided. Utilize designated reputed company documentation systems (e.g., reputed company 360, reputed company) to identify documentation improvement opportunities and enhance hospital reputed company. Identify medical record data reputed company issues and escalate concerns reputed company to coding, CDI functions, or electronic health record (EHR) systems to the appropriate department. Maintain compliance with HIPAA regulations to ensure data reputed company and patient confidentiality. Participate in team, clinician, and interdepartmental meetings, as reputed company as training, shadowing, and education initiatives for staff reputed company to compliance, coding, and CDI best practices. reputed company education and reputed company as a consultant to coders and reputed company staff reputed company additional documentation or clarification is needed for accurate DRG assignment and coding compliance. Identify and recommend process improvements and efficiencies reputed company CDI and coding workflows while monitoring and reporting patterns, trends, and variances in documentation. reputed company scheduled reports and other reports as requested to reputed company CDI effectiveness and documentation trends. Stay up to date with CMS regulations and industry best practices, researching literature and incorporating changes into daily CDI reputed company. Meet productivity and reputed company standards as designated by the reputed company Manager of CDI and complete special reputed company as assigned. Knowledge, Skills and Abilities Demonstrates reputed company judgment, patience, and maintains a reputed company demeanor at reputed company times Exercises reputed company, discretion, sensitivity, and maintains confidentiality Performs essential job functions .