Clinical Documentation Improvement Specialist
New
L
Luminis HealthHealthcare
Only individuals living in the following states can work remote at our organization: MD, PA, Washington D.C., WV, VA, TN, TX, NC, SC, GA, FLFull-TimeMiddle
Salary93,120 - 136,344 USD per year
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Job Details
- Experience
- Minimum of three-five years of health care experience
- Required Skills
- Microsoft Office
Requirements
- Minimum of three-five years of healthcare experience.
- Must hold at least one of the following: Physician, Registered Nurse, Nurse Practitioner, Physician Assistant, or Professional Coder.
- Proficiency in inpatient coding skills.
- Working knowledge of basic computer programs and Microsoft Office Suite.
- High level of interpersonal and communication skills to establish rapport with medical staff.
- Strong medical surgical background preferred.
- Experience with utilization management, DRG, billing, auditing, and health care payers preferred.
- CDIP or CCDS credential preferred.
- Electronic Medical Record (EMR) and CDI software experience preferred.
- Regulatory background and DRG reimbursement knowledge preferred.
Responsibilities
- Review and analyze health records to identify relevant diagnoses and procedures for patient encounters.
- Translate diagnostic phrases utilized by healthcare providers into coded form.
- Interact with healthcare providers to ensure accurate translation of medical terms.
- Assign appropriate DRG codes after concurrent review of medical records.
- Maintain awareness of Federal and State regulations regarding prospective payment.
- Perform coding tasks when physician documentation is vague or missing.
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