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The Senior Clinical Documentation Specialist - Auditor (CDS) performs review of inpatient medical records to identify documentation opportunities to accurately represent the severity of illness, risk of mortality, length of stay, intensity of service and hospital quality metrics. Demonstrates proficiency on ICD10-CM & PCS and respective coding guidelines & regulations for coding and reporting. Matter expert of key CDI hospital quality metrics (PSI, HACs, Vizient and Elixhauser Comorbidities, etc) and Inpatient Prospective Payment System (IPPS) documentation requirements for proper APR & MS DRGs assignment. The Senior CDS - Auditor functions at a higher level by leading and supporting the CDI team; and by active participation in physician/clinical staff engagement and education. Monitors internal key indicator metrics associated with CDI as it related to the revenue cycle and quality outcomes. Strategically audits cases in regard to Denial Prevention, Quality comorbidities, Risk Adjustment related data audits, and Quality Assurance audits. Assists CDS in account reconciliation to ensure completeness of coding and documentation accuracy. Assists with denial management as it relates to documentation. Fosters teamwork & utilizes strong team building measures. Acts as consultant and educator to providers, CDI, and coding staff relative to clinical documentation and coding. Works with different specialties to ensure they are kept aware of changes.
Essential Duties:
Required Qualifications:
Preferred Qualifications:
Required Licenses/Certifications:
Full Time
$75k-92k (estimate)
07/22/2023
04/26/2024
keckmedicine.org
Los Angeles, CA
1,000 - 3,000