61476018

Non-Clinical – Health and Information Management – Clinical Document Improvement Specialist

About the Opportunity:

The CDI Specialist position focuses on facilitating improvement of medical record documentation through concurrent and retrospective interventions with healthcare professionals, and providing education to enhance documentation accuracy. This is a full-time contract position, allowing remote work while based in New York or the tristate area. The estimated base pay for these positions are $52.25 to $61.75 per hour. Actual compensation offered to the successful candidate may vary from posted hiring range based upon geographic location, work experience, education, and/or skill level, among other things. Details about eligibility for bonus compensation (if applicable) will be finalized at the time of offer.

Job Responsibilities:

  • Facilitate improvement of medical record documentation by concurrent and retrospective interventions and interactions with healthcare professionals.
  • Develop process to identify opportunities for documentation improvement and intervene with physicians.
  • Provide routine in-services regarding regulatory documentation requirements and impact on metrics.
  • Maintain records and databases to quantify documentation deficits and their impact.
  • Ensure successful intervention follow-through related to documentation improvement.
  • Stay informed on regulatory and third-party requirements impacting coding and DRG assignments.
  • Participate in ongoing department processes and quality improvement measures.
  • Utilize electronic workflow software for work management and data reporting.
  • Participate in retrospective medical record reviews to resolve coding or documentation discrepancies (if in Rehabilitation).

Job Requirements:

  • Bachelor's degree required, preferably in Nursing.
  • 5 years of recent hospital acute care experience and/or verifiable Documentation Improvement experience required.
  • Experience in EMR environment required.
  • Regulatory and third-party requirements knowledge as they relate to Documentation Improvement/Rehabilitation Improvement required.
  • CCDS certification preferred.
  • Background as RN, NP, PA, or trained Physician required.
  • Proficiency in Microsoft Word, Excel, and PowerPoint preferred.

Why Join Us:

  • Competitive pay offering.
  • Work a predictable schedule from 8 AM to 4 PM EST, Monday to Friday.
  • Work remotely, providing flexibility in location.
  • Opportunity for contract extensions, tailored to job satisfaction and performance.
  • Engage in a supportive work environment encouraging interdisciplinary collaboration.

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