CDI Specialist

Duties:
CDIP or CCDS, Experience in Trauma or Transplants, 3+ CDI experience, Large Facility (need complexity), 100% Production, In more than one facility as a CCDS but have had experience in multiple settings, Very flexible and willing to adapt to a very complex environment. 3M360 and Optum and Epic experience a huge plus. CCS and/or CRC are also a huge plus.

The Inpatient Clinical Documentation Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding. Validates coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding. Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans. Facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other caregivers. Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation. Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies. This Position is 100% Remote can work from anywhere within the U.S.

Skills:

ALL CANDIDATES MUST ANSWER THE FOLLOWING QUESTIONS

1 - Explain any direct production related Inpatient CDI experience. Are you certified with your CCDS or CDIP? Please provide all current credentials.

2 – Clinical CDI Experience

What are your Clinical Service Line areas of experience and expertise from a clinical perspective?

Do you have a preference Service Line in CDI? Do any present as a challenge?

Have you held CDI leadership positions currently or in the past?

What size and type of facilities have you worked with in the past? Ex. Academic, trauma, transplant, etc.

3 – What risk adjustment models are you familiar with?

4 – What interests you about working for Mayo?

5 – Why are you looking to leave your current position?

6 – How does this position fit into your career goal/path?

7 – Do you have reconciliation experience with Coding? If yes, to what level did you reconcile (example: DRG, risk, adjustment, other)

8 – Do you have experience with PSI/HAC reviews?

9 – What service lines have you reviewed?

10 – What are your go to resources/ refences for inpatient CDI review when you are unfamiliar with a diagnosis or procedure or query construction?

11- Have you worked remotely in the past?

12 – What is your current productivity rate?

13 – Please provide an example of a validation query and an example of a diagnosis query:

14- Have you ever been audited by a 2nd level reviewer? Please provide your most recent audit feedback received.

Two years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role, concurrent review of medical records in the field of ICDI and experience in a production role within the last 12 months. Demonstrated skills in analytical thinking, problem solving. Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team. Self-motivated and able to work independently without close supervision. Demonstrated ability to work well with others in a creative and challenging work environment. Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.

Education:

High School diploma or GED required. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Registered Respiratory Therapist, Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P), or International or Domestic Medical Degree
     License or Certification: Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification

Voca: The Spirit of Work

The next step after you apply to this position on Indeed would be a brief phone screen with me, and if you’re interested in discussing further please let me know when you might be available for a ~15 minute phone conversation.

Please send resume and Covid Card to ataylor@myvoca

Thank you in advance for your help. Have a great day.

Thank you!

Job Types: Full-time, Contract

Pay: $70.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Healthcare setting:

• Hospital

Schedule:

• 8 hour shift
• Day shift

Education:

• High school or equivalent (Required)

Experience:

• Epic: 2 years (Required)
• Clinical Documentation Integrity Specialist: 2 years (Required)

License/Certification:

• CCDS or CDIP (Required)
• COVID CARD (Required)

Ability to Relocate:

• Rochester, MN 55905: Relocate before starting work (Required)

Work Location: In person