Sr. Coding & Clinical Documentation Specialist (40 hrs/days)(Temple Physicians, Inc.)

The Sr Coding and CDI Specialist has the overall responsibility for conducting in-depth reviews of clinical documentation to ensure compliance with coding guidelines, regulatory requirements, clinical validation, and overall accuracy of coding for the Temple University Health System. Provide coding expertise and guidance to physicians, nurses, and other healthcare professionals. Identify and address coding-related compliance issues. Facilitate improvement in overall quality, completeness, and accuracy of the medical record documentation. Stays up to date with coding guidelines, regulations, and industry changes. Serves as an expert for CDI and Coding teams on topics such as coding compliance, clinical validation, PSIs, HACs and Vizient variables. Communicates and collaborates with the CDI and Coding Leadership teams to provide feedback on medical chart reviews.

Education

Bachelor's Degree Bachelor of Science in Nursing or related field Required or

Combination of relevant education and experience may be considered in lieu of degree Required

Experience

5 years experience in Coding and/or CDI for inpatient records Required and

General Experience and expert knowledge of ICD, CPT, DRG, and APC coding and classification Required

General Experience With EPIC Preferred

Licenses

Certified Coding Specialist Required or

Cert Clin Documentation Spec Required

PA Registered Nurse License Preferred Or

Multi State Compact RN License Preferred