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CDI Specialist
Washington Regional Medical Center

Location: Fayetteville, Arkansas
Work Setting: Hospital
Job Function:
CDI Specialist
Job Type:

Job Description

This role is vital in supporting the validity and accuracy of ICD-10 coding, MS-DRG, APR-DRG (SOI, ROM), HCC risk adjustment, PSI, POA, HAC assignment, mortality O/E ratios (and PPR, PPC, if/when applicable) in compliance with all Federal and State coding regulations and reporting requirements and also works collaboratively with CDI, Coding, physicians, quality and other key hospital personnel to ensure proper quality reporting of data.Essential in supporting the Hospital Value-Based Purchasing (VBP) results, by reviewing documentation to ensure accuracy in the Potentially Preventable Readmissions (PPR), Patient Safety Indicators (PSI), Hospital Acquired Conditions (HAC), Present on Admission (POA) conditions, and Mortality reviews to avoid penalties associated with lack of proper documentation.Review IP/OP medical records on a daily basis, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation; in supportive effort to items listed above. Serves as a liaison between physicians, other caregivers and coding staff to link coding guidelines and medical terminology to improve the accuracy of final codes and DRG assignment.Queries physicians in instances where documentation need to be clarified either during the patient’s active stay or post discharge. Contributes to physician education to support above stated objectives. Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization.

Required Qualifications

RN, BSN, CCDS, CDIP, RHIA, RHIT, or CCS or combination thereof.

Obtain CCDS within 3 years of hire

Preferred Qualifications

  • Documentation Improvement experience preferred
  • Working knowledge of care delivery documentation systems and related medical record documents necessary; along with elements of disease processes and related procedures required
  • Strong broad-based coding knowledge and understanding of pathology/physiology of the disease processes required
  • Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail
  • Assertive personality traits to facilitate ongoing physician communication needed
  • Ability to work independently, self-motivate, and adapt to the changing healthcare arena
  • Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, etc
  • Working knowledge of Medicare reimbursement system and coding structures preferred
  • Proficiency in organizational skills and planning, with an ability to juggle multiple priorities in a fast-changing environment
  • Knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures
  • Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs
  • Ability and willingness to seek out changes in healthcare reform and coding regulations then incorporate those changes into chart review and educational responsibilities
  • Flexible hours required in order to facilitate face-to-face meetings with physicians in the hospital and their private practice


Instructions for Resume Submission

Attach w/ online application

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Posted: January 15, 2019 at 1:41 PM
Post ID: 34822

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