Revenue Cycle CDI Specialist

As our Revenue Cycle CDI Specialist, you will review medical records to obtain appropriate provider documentation that supports accurate DRG assignment, severity of illness, risk of mortality, and complexity of care.

Every day you will apply clinical expertise and compliant query practices under AHIMA and ACDIS guidelines, serve as liaison between providers, clinical quality, and patient financial services, and educate providers to protect the accuracy and integrity of the inpatient record.

To be successful in this role, you will bring clinical expertise, CDI and compliant coding knowledge, and strong provider communication.

• Completes initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality and severity of illness
• Conducts follow-up reviews every 2-3 days to support working DRG assignment
• Formulates compliant provider queries regarding missing, unclear or conflicting documentation, as necessary
• Follows up daily on open queries with providers to ensure timely responses
• Reviews final coding DRG assignment follows DRG reconciliation process
• Keep abreast of Official Coding and Reporting Guidelines, AHA Coding Clinics, CMS and other agency directives and maintains up to date knowledge of coding and CDI current trends

• 2 years’ acute care hospital clinical CDI experience or
• 2 years’ experience inpatient coding auditor
• Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech)

Preferred

• Bachelors Of Nursing Bachelor’s degree in Nursing, or HIM, upon hire or
• CAC experience (Computer Assistant Coding) 
• Clinical Documentation Improvement Professional,
• Certified Coding Specialist, 
• Registered Health Information Technician, 
• Certified Coding Specialist,