CDI RN Specialist - Hybrid Bismarck, ND
Company: Conifer Revenue Cycle Solutions
Location: Sterling
Posted on: March 6, 2025
Job Description:
JOB SUMMARY Responsible for reviewing medical records to
facilitate and obtain appropriate physician documentation for any
clinical conditions or procedures to support the appropriate
severity of illness, expected risk of mortality, and complexity of
care of the patient, by improving the quality of the physicians
clinical documentation. Exhibits a sufficient knowledge of clinical
documentation requirements, MS-DRG Assignment, and clinical
conditions or procedures. Educates members of the patient care team
regarding documentation guidelines, including attending physicians,
allied health practitioners, nursing, and case management.
ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others
may be assigned.
- Record Review: Completes initial medical records reviews of
patient records within 24-48 hours of admission for a specified
patient population to: (a) evaluate documentation to assign the
principal diagnosis, pertinent secondary diagnoses, and procedures
for accurate MS-DRG assignment, risk of mortality and severity of
illness; and (b) initiate a review worksheet.
- Conducts follow-up reviews of patients every 2-3 days to
support and assign a working or final MS-DRG assignment upon
patient discharge, as necessary.
- Formulate physician queries regarding missing, unclear or
conflicting health record documentation by requesting and obtaining
additional documentation within the health record, as
necessary.
- Collaborates with case managers, nursing staff and other
ancillary staff regarding interaction with physicians regarding
documentation and to resolve physician queries prior to
discharge.
- Assist in training department staff new to CDI
- Professional Development: Stays current with AHA Official
Coding and Reporting Guidelines, CMS and other agency directives
for ICD-9-CM and CPT coding. Attends mandatory coding seminars on
annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for
inpatient and outpatient coding. Quarterly review of AHA Coding
Clinic. Attends Quarterly Coding Updates and all coding conference
calls as well as any required CDI education.
- CDI: Communicates/Completes Clinical Documentation Improvement
(CDI) activities and coding issues (lacking documentation,
physician queries, etc.) for appropriate follow-up and
resolution
- Other duties as assignedKNOWLEDGE, SKILLS, ABILITIESTo perform
this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are
representative of the knowledge, skill and/or ability required.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- CDI Specialist must display teamwork and commitment while
performing daily duties
- Must demonstrate initiative and discipline in time management
and medical record review
- Travel may be required to meet the needs of the facilities
- Advanced knowledge of Medicare Part A and familiar with
Medicare Part B
- Intermediate knowledge of disease pathophysiology and drug
utilization
- Intermediate knowledge of MS-DRG classification and
reimbursement structures
- Critical thinking, problem solving and deductive reasoning
skills
- Effective written and verbal communication skills
- Knowledge of coding compliance and regulatory standards
- Excellent organizational skills for initiation and maintenance
of efficient work flow
- Regular and reliable attendance and time reporting per Conifer
Telecommuting program requirements
- Capacity to work independently in a virtual office setting or
at facility setting if required to travel for assignment
- Understand and communicate documentation strategies
- Recognize opportunities for documentation improvement
- Formulate clinically, compliant credible queries
- Ability to maintain an auditing and monitoring program as a
means to measure query process
- Ability to apply coding conventions, official guidelines, and
Coding Clinic advice to health record documentationConifer requires
its candidates, as applicable and as permitted by law, to obtain
and provide confirmation of all required vaccinations and
screenings prior to the start of employment. This may include, but
is not limited to, the COVID-19 vaccination, influenza vaccination,
and/or any future required vaccines and screenings.EDUCATION /
EXPERIENCEInclude minimum education, technical training, and/or
experience required to perform the job.
- Preferred: Acute Care nursing relevant experience
- Zero (0) to two (2) years experience
- Graduate from a Nursing program, BSN, or graduateCERTIFICATES,
LICENSES, REGISTRATIONS
- Active state Registered Nurse license
- Preferred: CDIP or CCDSPHYSICAL DEMANDS The physical demands
described here are representative of those that must be met by an
employee to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.
- Ability to sit for extended periods of time
- Must be able to efficiently use computer keyboard and
mouse
- Good visual acuityWORK ENVIRONMENT The work environment
characteristics described here are representative of those an
employee encounters while performing the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.OTHER
- Must be able to travel nationally as needed, not to exceed
10%As a part of the Tenet and Catholic Health Initiatives family,
Conifer Health brings 30 years of healthcare industry expertise to
clients in more than 135 local regions nationwide. We help our
clients strengthen their financial and clinical performance, serve
their communities and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to
value-based care, enhance the consumer and patient healthcare
experience and improve quality, cost and access to healthcare. Are
you ready to be part of our solutions? Welcome to the company that
gives you the resources and incentives to redefine healthcare
services, with a competitive benefits package and leadership to
take your career to the next step!2403033372
Employment practices will not be influenced or affected by an
applicants or employees race, color, religion, sex (including
pregnancy), national origin, age, disability, genetic information,
sexual orientation, gender identity or expression, veteran status
or any other legally protected status. Tenet will make reasonable
accommodations for qualified individuals with disabilities unless
doing so would result in an undue hardship.Required
Keywords: Conifer Revenue Cycle Solutions, Bismarck , CDI RN Specialist - Hybrid Bismarck, ND, Healthcare , Sterling, North Dakota
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