Revenue Cycle CDI Specialist

Revenue Cycle CDI SpecialistInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $39.27 - $64.80/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Job Summary and ResponsibilitiesJob Summary / Purpose: Responsible for reviewing medical records to facilitate and obtain appropriate provider documentation for clinical conditions and/or procedures to support the appropriate DRG assignment, severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the providers' clinical documentation. The CDS exhibits clinical expertise and clinical documentation improvement practices, as well as knowledge of compliant coding practices, adherence to AHIMA/ACDIS Guidelines for Achieving a Compliant Query Practice. Acts as a liaison between providers, clinical quality, patient financial services, etc. to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record. Educates members of the patient care team regarding documentation guidelines, including attending providers, allied health practitioners, nursing, quality and case management.Essential FunctionsCompletes initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality and severity of illnessConducts follow-up reviews every 2-3 days to support working DRG assignmentFormulates compliant provider queries regarding missing, unclear or conflicting documentation, as necessaryFollows up daily on open queries with providers to ensure timely responsesReviews final coding DRG assignment follows DRG reconciliation processKeep abreast of Official Coding and Reporting Guidelines, AHA Coding Clinics, CMS and other agency directives and maintains up to date knowledge of coding and CDI current trendsStrong oral communication skills and the ability to deliver presentations to large groupsActively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterpriseProactively develops a collaborative relationship with the HIM Coding ProfessionalsCollaborates with leadership when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement processAbility to troubleshoot computer issues in a timely fashion while working remotelyJob RequirementsEducation and Experience: Bachelors Of Nursing and/or Bachelor's degree in Nursing, or HIM. CAC experience (Computer Assistant Coding), Preferred. 2 years' acute care hospital clinical CDI experience. 2 years' experience inpatient coding auditor.

Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech)Licensure and Certifications: Registered Health Information Technician (RHIT), Required. Certified Coding Specialist (CCS), Required. Registered Nurse:XX (RN:XX), Required. Certified Cardiac Device Specialist (CCDS), Preferred. Clinical Documentation Improvement Professional (CDIP), Preferred. Certified Coding Specialist (CCS), PreferredWhere You'll WorkInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.Total RewardsDepending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.