Clinical Documentation Integrity Consultant - Prairieville

Only for registered members Prairieville, United States

18 hours ago

Default job background
OTHER $60 - $65 (USD)
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Job summary

Clinical Documentation Integrity Consultant ensures patient records accurately reflect their clinical status for quality care, proper coding, and compliant reimbursement by collaborating with providers.

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Responsibilities

  • Ensures diagnoses and procedures translate correctly into coded data for billing and reporting.
  • Captures full patient severity, complexity, and risk factors for appropriate payment (e.g., DRG/MS-DRG/APR-DRG).
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Duties
  • Examine medical records (concurrentlyand retrospectively) for completeness accuracy specificity of diagnoses procedures Train staff on documentation standards disease severity complexity regulatory requirements like DRGs HCCs Send clarification requests to providers to get more detailed documentation Analyze data to identify trends opportunities improvement in documentation Implement CDI program with actionable insights help drive accurate documentation coding improve care quality reduce missed opportunities creating efficiencies productivities drive impressive financial quality opportunities Enhance clinical workflows streamlines processes CDI reviewers risk coders Qualifications At least years experience CDI coding built performance compliance clinical content hands-on consulting resulting high-impact financial outcomes Must have minimum experience implementing improvement projects based prioritized opportunities enhance financial outcomes Close loop between front-end clinician workflows back-end CDI workstreams seamlessly improve documentation simplify query response accelerate revenue cycle Must have active Clinical Documentation Integrity Specialist Certification Certified Documentation Improvement Practitioner certification coding credentials CCS CPC Knowledge DRGcoding ICD-electronic health records EHRs strong communication teaching skills Detail oriented time management planning skills meet deadlines Strong technological skills quickly efficiently learn new systems working one system at same time
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