Clinical Documentation Integrity Specialist

Community hospital part of a system looking to bring on a CDI Specialist! Reports to the Corporate Director of Health Information Management Responsible for improving the quality, completeness and accuracy of clinical documentation Works concurrently with providers and the healthcare team to ensure documentation accurately reflects the patient’s clinical condition and level of service Uses compliant provider queries to clarify missing, conflicting, unclear or clinically unsupported diagnoses Reviews and supports accurate assignment of MS-DRG, APR-DRG, Severity of Illness (SOI) and Risk of Mortality (ROM) Identifies relevant clinical indicators including HACs and PSIs Strong emphasis on clinical validation and compliant querying under AHIMA/ACDIS guidelines Individual contributor role with no direct reports Qualifications: 1+ year of inpatient CDI experience required; ideally 2+ years Strong understanding of MS-DRG, APR-DRG and ICD-10-CM/PCS Strong clinical background, such as an RN/BSN or foreign-trained physician Experience with EHR and encoder systems required Must have or obtain CCDS or CDIP certification within 1 year of hire #J-18808-Ljbffr