Cdi Specialist Clinical

CDI Specialist Clinical

Apply to the CDI Specialist Clinical role at Covenant Health.

Clinical Documentation Integrity Specialist Certified Clinical. Full Time, 80 Hours Per Pay Period, Day Shift.

Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.

The CDI Specialist serves as a liaison between the physicians and hospital departments to promote consistency and efficiency in documentation and to facilitate data quality and compliance in hospital services. CDI is responsible for facilitating concurrent documentation reviews in the setting of an acute care facility. Concurrent reviews assure the completeness of medical records, the accuracy of documentation, and the appropriate assignment fuga final DRG.

The CDI Specialist functions as a resource for clinical staff and other groups involved in the care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the case-mix在线视频, CDI is accountable for concurrent review of health records, reviewing documentation that supports the severity of the patient’s condition, and the resources used in the diagnosis and treatment of the patient.

The validation of the clinical diagnoses is an additional focus and responsibility.

Recruiter:
Suzie McGuinn||

• Initiates and performs concurrent documentation reviews to assign initial DRGs and GLMOS for physician and case management to follow.
• Collaborates extensively with individual physicians and other medical and clinical staff departments to facilitate complete and accurate documentation of the inpatient record.
• Monitors inpatient admissions for Length of Stay (LOS) related to initial DRGs and updates working DRGs and SOI/ROM for final coding and DRG assignment
  
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• Prepares reports for any assigned facilities. Assists with the collection and maintenance of data that reflects the productivity and effectiveness of all CDI actions related to individual chart reviews, queries, response to queries, and communication and education with physicians.
• Understands HACs, PSI, and POA ван issues as it relates to quality measures.
• Serves as a resource for physicians to help link ICD-10-CM and ICD-10-PCS coding guidelines and medical terminology to improve accuracy of final code assignment.
• Works in a collaborative fashion with Health Information Management and Coding Departments to assure that initial and final DRGs are correct.
• Assigns concurrent queries when required to assure that documentation is consistent and that diagnoses meet clinical definitions.
• Assists the HIM Department with post discharge queries as needed.
• Assesses documentation to assure that risk measures accurately reflect the severity and risk involved in patient’s care.
• Educates and assists physicians and clarifies coding versus clinical issues.
• Identifies opportunities for intradepartmental and interdepartmental operational improvements.
• Remains informed about annual changes pertinent to ICD-10-CM/PCS, follows through with educating appropriate parties, and applies information to concurrent reviews as needed.
• Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
• Monitors activities and findings with regard to audits and denials and subsequently adjusts to potential trends when reported.
• Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
• Increases awareness of compliance as it relates to coding and documentation.
• Applies knowledge related to proper documentation necessary to support MS-DRGs/APR DRGs/Medical Necessity/ROM/SOI assignment. casss.
• Reconciles…