Remote Inpatient Clinical Documentation Improvement Specialist

Remote Full-time
Description:
• Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation.
• Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends.
• Query providers for clarification or additional documentation as needed.
• Collaborate with physicians, coders, and clinical staff to improve documentation quality and accuracy.
• Utilize 3M360, Optum, and EPIC systems for chart review and data analysis.
• Monitor documentation trends and identify opportunities for improvement.
• Educate clinical staff on documentation best practices and compliance standards.
• Ensure adherence to all applicable coding guidelines, regulations, and internal policies.

Requirements:
• Education: High School diploma or GED required.
• Certifications (Required): CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist).
• Licensure (Required, One of the following): RHIT, RHIA, RN, RRT, CCS, CCS-P, or an international/domestic medical degree (FMG/MD).
• Experience: Minimum 2 years of inpatient CDI experience with concurrent review responsibilities.
• Recent experience (within the last 12 months) in a production-focused CDI role.
• Risk adjustment coding experience strongly preferred.
• Technology Skills: Proficiency in EPIC, 3M360, and Optum platforms.
• Soft Skills: Strong analytical thinking, excellent communication, and attention to detail.

Benefits:
• Full Health Insurance
• other benefits



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