MAIN FUNCTION: The CDI specialist is a clinically knowledgeable professional who is proficient in analyzing and interpreting medical record documentation and capable of tracking and trending their CDI program goals and objectives. This professional possesses knowledge of healthcare and coding regulations, as well as anatomy, physiology, pharmacology and pathophysiology. Further possesses the valuable ability to engage physicians in dialogue and educational efforts regarding how appropriate clinical documentation benefits patient outcomes and the overall well-being of the healthcare system.

ESSENTIAL RESPONSIBILITIES & DUTIES:

• Able to identify the principal diagnosis and relevant secondary diagnosis.
• Able to identify needed documentation clarification and ensure response to both written and verbal queries.
• Identifies opportunities for teaching and engages physicians/LIPS in that process Is able to provide both group and individual education to physicians and staff.
• Collaborates with all other hospital disciplines to ensure the medical record accurately reflects the condition of the entire hospital admission.
• Able to assign the principal procedure for surgical cases.

EDUCATION: RN, Minimum Bachelor’s degree preferred

EXPERIENCE: Minimum six months in same or similar position. Computer literacy and the ability to type are required.

*This is not a remote position. This person would need to be onsite.*

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)