Clinical Documentation Integrity Specialist Part time at Guidehouse

Job Family:CDI SpecialistTravel Required:NoneClearance Required:NoneWhat You Will Do:The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. Collaborates closely with Coders Coding Educators Coding Quality Auditors Case managers Quality Department and Providers to assure documentation is clinically appropriate accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.Conducts daily concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate timely and compliant coding.Reviews daily admissions to assigned unit perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.Updates working DRG as documentation supports or physician query answer supports a change in the DRG assignment.Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team.Initiates compliant physician queries when documentation is confusing ambiguous or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: Managing an Effective Query Process October 2008and Guidance for Clinical Documentation Improvement Programs May 2010).What You Will Need:Bachelors degreeOne of the following: RN MD or MD Equivalent (MBBS)4 years experience providing direct patient care to acute and chronically ill patients in inpatient settings criticalcare ED or strong med-surg experience preferred.2 years prior CDI experienceFamiliarity with encoder and DRG assignmentMaintain current working knowledge of official coding guidelines and coding clinicsWhat Would Be Nice to Have:CCDS CDIP preferredED/Critical care or case management; or inpatient acute care (referral hospital); strong critical thinking skills; stronginterpersonal skills; strong clinical knowledge base.Coding Case Management and/or Utilization Review experience preferred.Strong clinical understanding of disease processDemonstrate critical thinking analytical skills and ability to resolve problems.Strong knowledge of medical terminology anatomy physiology microbiology and disease processesAbility to converse with physicians in sometimes difficult scenariosStrong typing and computer skills; proficiency with EHR systems CDI software systems and encoders#Indeedsponsered#LI-DNIThe annual salary range for this position is $61000.00-$101000.00. Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:Medical Rx Dental & Vision InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.Required Experience:IC Key Skills Bidding,Apps,Benefits,Corporate Recruitment,Android Development Employment Type : Part-Time Experience: years Vacancy: 1 Monthly Salary Salary: 61000 - 101000