Note: The job is a remote job and is open to candidates in USA. Randstad Digital Americas is hiring a Registered Nurse Clinical Documentation Improvement Specialist for a remote position. The role serves as a second-level CDI reviewer and subject matter expert, managing work queues, conducting clinical and post-coding reviews, validating queries, escalating physician queries, and educating CDI and coding teams.
Responsibilities
- Acts as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality Teams. Assists with on-going education and training of new staff
- Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams
- Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality
- Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI
- Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team
- Responsible for the concurrent physician query escalation process to support query completion prior to discharge
- Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently
- Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution
- Performs other duties as assigned
Skills
- Required three (3) years of acute hospital-based CDI experience
- Required Registered Nurse (RN)
- Required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
- Preferable in an Academic environment
Benefits
- Remote position
- Medical insurance offerings, based on eligibility
- Prescription insurance offerings, based on eligibility
- Dental insurance offerings, based on eligibility
- Vision insurance offerings, based on eligibility
- AD&D insurance offerings, based on eligibility
- Life insurance offerings, based on eligibility
- Short-term disability, based on eligibility
- 401K plan, based on eligibility
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