RN - CDI Specialist

14 hours ago

Richmond, Virginia, United States Reid Hospital & Health Care Services Full time
Job Summary

We are seeking a highly skilled RN - CDI Specialist to join our team at Reid Health. As a Second Level Reviewer, you will play a critical role in ensuring the accuracy and completeness of patient documentation. Your expertise will help us provide high-quality care to our patients and improve our clinical outcomes.

Key Responsibilities
  • Perform post-discharge, final coded, pre-bill reviews of target case presentations to verify that all conditions are accurately reported.
  • Coordinate with front-line CDSs to query physicians for additional documentation or specificity to ensure completeness and accuracy of the medical record.
  • Monitor and educate CDI team to ensure clinically credible, effective, and compliant query practices.
  • Respond to CDS requests for concurrent chart reviews.
  • Analyze reports and data to identify trends, ascertain areas of opportunity, and provide education to facility-based CDSs and physicians based on this analysis.
  • Respond to requests for clinical review and perspective on those cases when the CDS and Coder cannot reconcile the final DRG.
  • Validate the appropriateness of Coder requests to withdraw an outstanding query.
  • Respond to HIM coding requests for review from a clinical perspective.
  • Assist with query escalation to the Physician Champions.
  • Develop and promote collaborative processes with CDS, Coding and Compliance, and strong working relationships with physicians and other healthcare professionals to accomplish program goals and ensure exceptional documentation.
Requirements
  • ASN or Associate of Science in Health Information Management.
  • 2 or more years working in an acute care setting or ambulatory office setting. Previous experience in CDI.
  • Registered Nurse as applicable.
What We Offer
  • Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes-rated Best Places to Work 2022.

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