CLINICAL DOCUMENTATION SPEC III PRN - REMOTE

About the role

This is a remote position. You must self provide high speed internet access and a phone line. Depending on shortages, you may be required to self-provide additional monitors (you will need to work on a minimum of 2 monitors). This job does not require any travel.

Responsibilities

• Responsible for ensuring the overall quality and completeness of medical record Documentation for all payor groups, all DRG's, including MS, AP, and APR.
• Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
• Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
• Educates all members of the patient care team on an ongoing basis, as needed.
• Regular electronic contacts with other personnel throughout and outside the hospital. Contacts may be in by telephone or through e-mail correspondence.
• Flexible with a working knowledge of all areas of adult pediatric and obstetric medicine.
• Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.

Qualifications

• 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center.
• CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables).
• PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator.
• International Medical Graduate (IMG) from an accredited medical school preferred. Bachelor's degree or equivalent medical education required.
• CCDS or CDIP required.
• Coding certification: CCS, CRC, or CIC required.

Skills

• Professional team player, able to communicate well with others on all levels.
• Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach.
• Must be self governed, disciplined, and organized.
• Requires excellent work ethics, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette.
• Must be proficient in Word, Excel, PowerPoint and typing (60 WPM).
• Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.

Benefits

• Health, dental, vision, life, disability, and retirement.
• Attractive working conditions and opportunities for career growth through professional development.

Pay

Competitive rates and compensation programs.