Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt, FT, 8:30A-5P

Responsibilities Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payor. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis. Active participation in team meetings and education of staff in the CDMP process is a key role. Salary Estimated salary range for this position is $74,100.20 - $96,330.26 per year, depending on experience. Qualifications Doctor of Medicine / DO. International graduates of medical school, or RN with MBA preferred. Four years of recent clinical experience in adult, pediatrics, obstetrics hospital inpatient medical, surgical and critical care setting. Four years of recent clinical documentation improvement experience in adult/pediatric hospital in-patient medical/surgical and critical care setting. CDIS certification preferred. Experience in Milliman and Interqual preferred. Leadership experience, knowledge of legal aspects of coding, Medicare MS-DRG, Medicaid APR-DRG assignments, utilization management, case management, discharge planning, and/or managed care experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. Basic computer skills (familiarity with Windows based software programs). Incumbents hired prior to 6/4/2023 may be a Certified Coding Specialist or a Registered Nurse to continue in a Clinical Document Spec role. Anyone hired after 06/4/2023 must be a Foreign Medical Graduate. Minimum Required Experience: 4 Years EOE Statement EOE, including disability/vets #J-18808-Ljbffr LRP Media Group