Job description

Job #1167483

Qualifications:

• Minimum 5 years of Clinical Experience
• Minimum 5 years of CDI experience
• 5 years of Clinical Documentation Integrity experience in an acute care setting.
• Proven ability to manage a large scope of work in a time intensive and impact driven setting.
• A Bachelor’s degree in a clinical or healthcare field is required,
• MBBS, MD, ECFMG certification is highly preferred.
• CCDS, CDIP or CCS Certification required

Position Summary

Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payor. Support CDI staff with education and training, reconciliation of data, provide physicians and other clinicians with education presentations.

MAJOR RESPONSIBILITIES

• Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
• Concurrently reviews selected admissions to identify most appropriate principal and secondary diagnosis to accurately reflect the patient’s severity of illness.
• Communicates with physicians and clinicians regarding missing, unclear or conflicting medical record documentation to clarify and obtain needed documentation.
• Develops clinician or physician education strategies to promote complete and accurate documentation and correct negative trends.
• Confers with Coders concurrently to ensure appropriate DRG and completeness of supporting documentation.
• Develops tools and coordinates and performs audits for compliance.
• Gathers and analyzes information pertinent to documentation findings and outcomes.
• Identifies patterns and trends variance, identifying opportunities for improvement.
• Researches literature to identify new methods in development for disease components and documentation.
• Supports and is involved with ongoing continuing education for both associates and physicians.
• Performs audits as directed timely and efficiently.
• Works with Director to enhance relationships and work closely with other departments and associates.
• Strategizes and helps implement work flow processes that will impact department metrics to also include Regional initiatives.
• Works independently with little to no supervision.
• Will identify areas of improvement and provide suggestions for resolutions.

Note: Hourly payrate is dependent on experience.

Job Types: Full-time, Contract, Temporary

Pay: From $45.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Ability to commute/relocate:

• Corpus Christi, TX 78404: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• How many years of interim leadership experience do you have?
• What EMR/EHR systems have you worked with?
• Do you have work history gaps of more than 30 days? If yes, please provide dates and explanations.
• Please list any professional certifications you hold.
• Please list all states in which you hold an unexpired nursing license.
• What is your permanent address (if desired to travel outside of 55 miles)?
• What is your COVID-19 Vaccination Status? If not vaccinated, do you have a religious or medical exemption?

Education:

• Bachelor's (Required)

Experience:

• acute care Clinical Documentation Integrity: 5 years (Required)

License/Certification:

• Psychiatric/Mental Health certification (Required)
• CCDS certification (Preferred)
• CDIP certification (Preferred)
• CCS certification (Preferred)

Work Location: One location

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