Revenue Cycle CDI Specialist

Where You’ll Work

Inspired 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.

Job Summary and Responsibilities

As our Revenue Cycle CDI Specialist, you will review medical records to obtain appropriate provider documentation that supports accurate DRG assignment, severity of illness, risk of mortality, and complexity of care.Every day you will apply clinical expertise and compliant query practices under AHIMA and ACDIS guidelines, serve as liaison between providers, clinical quality, and patient financial services, and educate providers to protect the accuracy and integrity of the inpatient record.To be successful in this role, you will bring clinical expertise, CDI and compliant coding knowledge, and strong provider communication.

• Completes 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 illness
• Conducts follow-up reviews every 2-3 days to support working DRG assignment
• Formulates compliant provider queries regarding missing, unclear or conflicting documentation, as necessary
• Follows up daily on open queries with providers to ensure timely responses
• Reviews final coding DRG assignment follows DRG reconciliation process
• Keep 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 trends

Job Requirements

Required

• 2 years’ acute care hospital clinical CDI experience or
• 2 years’ experience inpatient coding auditor
• Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech)

Preferred

• Bachelors Of Nursing Bachelor’s degree in Nursing, or HIM
• CAC experience (Computer Assistant Coding)
• Clinical Documentation Improvement Professional,
• Certified Coding Specialist,
• Registered Health Information Technician,
• Certified Coding Specialist,