CDI Specialist

About the role

EHS is seeking an experienced Inpatient Clinical Documentation Improvement (CDI) Specialist to join our dynamic team. This position will play a crucial role in ensuring accurate and complete medical record documentation.

Responsibilities

• Demonstrates strong clinical foundation with respect to differential diagnoses, disease interactions, pathophysiology, and treatment protocols
• Masters ICD-10-CM/PCS coding guidelines
• Serves as a liaison between providers and coders, ensuring accurate crosswalk between clinical language and coding terminologies
• Provides educational sessions on clinical documentation best practices aligned with ICD-10-CM/PCS Official Guidelines for Coding and Reporting
• Performs audits of medical records to ensure accuracy and completeness of documentation and correct ICD-10-CM/PCS codes are captured
• Fosters collaborative relationships with Hospital Leadership, providers, clinical teams, quality teams, compliance teams, and coding team
• Communicates effectively with providers to obtain timely and compliant query responses
• Tracks, analyzes, and trends data to identify opportunities for performance improvement
• Collaborates with interdisciplinary teams to review, audit, and educate on clinical documentation
• Works with the Clinical Applications department to create and implement EMR components for accurate provider documentation and APR-DRG/MS-DRG assignment
• Led and/or participates in meetings pertaining to CDI education and program metrics

Requirements

• MD: Medical Doctor
• DO: Doctor of Osteopathy
• MBBS/ECFMG Certified
• Certification Requirement for at least one of the following: AHIMA Certified Documentation Improvement Practitioner (CDIP), ACDS Certified Clinical Documentation Specialist (CCDS), AHIMA Certified Coding Specialist (CCS)
• 5+ years inpatient CDI experience
• 3+ years clinical experience managing patients in acute care setting

Qualifications

• Excellent oral and written communication skills
• Proficiency in developing and delivering presentations for training and education
• Proficiency with DRG grouper software and electronic health records (e.g., Meditech, Epic)

Skills

• Strong clinical knowledge
• ICD-10-CM/PCS coding expertise
• Effective communication and collaboration skills
• Proficiency in coding and documentation tools

Benefits

Join a supportive and innovative healthcare environment where your contributions make a difference. We offer competitive compensation, comprehensive benefits, and a positive work culture.

Pay

$86,000 annually

Schedule

Days (Varying hours)