RN Clinical Document Improvement Specialist

Top Healthcare company is hiring a RN Clinical Document Improvement Specialist!

Remote Position!

***Required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)***

Role Overview:

The CDI Coordinator serves as an experienced second-level CDI reviewer and subject matter expert, managing work queues and performing post-coding/pre-bill reviews. Responsibilities include reviewing audit recommendations, determining query validity, issuing follow-up queries, and providing guidance and education to the CDI team on complex coding, query, and procedure-coding questions.

Job Duties:

1. Acts as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality Teams. Assists with on-going education and training of new staff.

2. Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams

3. Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality

4. Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI

5. Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team

6. Responsible for the concurrent physician query escalation process to support query completion prior to discharge

7. Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently

8. Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution

9. Performs other duties as assigned.

MINIMUM QUALIFICATIONS

- Required three (3) years of acute hospital-based CDI experience. Preferable in an Academic environment. An equivalent combination of education and experience may be considered

- Required Registered Nurse (RN)

***Required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)***

Schedule:

*Full-time, 8-hour day with a consistent set schedule.

*Start times are flexible, generally between 5:00 AM-9:00 AM Central Time, with day-shift hours preferred.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on us.fitly.work.




Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).




This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.