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Novus Group is your advocateto DIRECT HIRE positions with a multibillion-dollar organization.
Employees of this organization can enjoy the following benefits and much more!
- Caregiving support for childcare/elderly family members
- Paid time off up to 5 weeks
- Student Loan Refinancing / forgiveness
- Medical, Dental, Vision and other coverages
- Up to 8% retirement savings match
- Up to $6,000 per year in Tuition Assistance to you and your immediate family
- Adoption Assistance, Pet Insurance and Retail Perks & Discounts
- Ongoing learning
- Accelerated Career Path
- Flexible work arrangements
- 7 holidays per year
- PTO buy back and selling excess, when eligible
Clinical Documentation Improvement (CDI) Specialist
Status: Full-Time, Direct Hire
Shift: Day Job
Location: Harrisburg, PA
Salary Range: $65,500 - $83,500 annually, based on qualifications.
The Clinical Documentation Improvement Specialist facilitates modifications to Clinical Documentation through concurrent interaction with physicians and other members of the health care team to support that appropriate clinical severity is captured for the level of services rendered to all inpatients.
Responsibilities:
- Participating at the organizational level in Clinical Documentation Improvement initiatives
- Communicate with physicians, face-to-face or via Clinical Documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness.
- Preparing trended data for presentation one-on-one and small to medium groups of physicians
- Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team.
- Be responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team.
- Provide daily clinical evaluation of the medical record including physician and Clinical Documentation, lab results, diagnostic information and treatment plans.
MINIMUM Qualifications:
- Three (3) years of previous clinical acute care nursing experience or medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRGs;
- OR completion of Health Records Administration program (RHIA) or Accredited Record Technician (RHIT) AND 3 years of experience with the Prospective Payment System and DRG selection;
- OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.
- Prior CDI work experience required.
- Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review background is highly preferred.
- Ability to communicate with staff, physicians, healthcare providers, and other health care system personnel in a professional and diplomatic manner required.
Licensure/Certification Required:
Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric Medicine OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN)
