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Renhill Management: Medical clinical documentation improvement specialist (cdis) + up to a 5% signing reward

Renhill Management

This is a Full-time position in Goshen, OH posted June 10, 2020.

Medical Clinical Documentation Improvement Specialist (CDIS)SUMMARY: Provides clinically based concurrent and retrospective review of patient medical records to assess and procure accurate and complete documentation of patient diagnosis and procedures.

The specific goals is to facilitate appropriate provider documentation of all patient conditions, treatments and interventions to accurately reflect quality of care, Severity of Illness (SOI) and Risk of Mortality (ROM) to support correct coding, reimbursement and quality initiatives.QUALIFICATIONS:Mandatory knowledge and skills:The CDIS FTEs should be credentialed as an RN with five years of acute care experience, or possess a Medical Doctorate (MD/OD), Nurse Practitioner/Physician Assistant with coding experience.FTEs should be currently licensed as an RN or possess active RHIA/RHIT.

Certified coding specialist (CCS) or other relevant experience is desirable.CDIS shall have advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting.FTE personnel shall be versed in the field of medical coding.Extensive knowledge and understanding of official coding clinic guidelines.Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs.Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques.Ability and willingness to seek out changes in healthcare reform and coding regulations, then incorporate those changes into chart review and educational responsibilitiesKnowledge of legal and regulatory requirements of medical recordsKnowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures.Knowledge of medical records procedures, regulations and principles as it applies to clinical documentation improvement.Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail.Proficiency in organizational skills and planning, with an ability to juggle multiple priorities in a fast-changing environmentProficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, and Internet search.Shall be able to read, write, speak and understand English Be a U.S.

CitizenEDUCATION/CERTIFICATION:A minimum of one of the following:Registered Nurse (RN) with a Bachelor of Science or Masters of Nursing Degree, or a Foreign Medical Graduate with a minimum of five years of clinical experience with acute inpatient care from a recognized institution.

Additional educational considerations include other health related fields such as Physician Assistant, Physical Therapy and Masters in Social Work.Professional Coding Certifications: The following are recognized professional certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS); or Certified Coding Specialist – Physician (CCS-P).Trained and Credentialed CDI professionals (e.g.

Certified Documentation Improvement Practitioners (CDIP), Certified Clinical Documentation Specialists (CCDS).Continuing Education RequirementsParticipate in continuing education programs, professional organizations (AHIMA,ACDIS, etc.) and attend seminars to maintain CDIS/Clinical competency and growth, maintain current and proper national certification(s) requirements for this position at no expense to the government.EXPERIENCE:A minimum of five years of Critical care or strong Medical/Surgical experience with knowledge of Pathophysiology, disease process, treatments and procedures.

Previous Clinical Documentation experience (preferred).Experience with criteria-based chart review, such as Utilization Management, Case Management, Managed Care, Quality Improvement preferred.

Exceptional written and verbal communication skills along with highly developed organization skill, critical thinking and analytical skills.

Ability to proactively form positive, collaborative relationships with physicians, residents/interns, mid-level clinicians, coders and other healthcare professionals.

Knowledge of Healthcare coding regulations and documentation requirement.WORK ENVIRONMENT/PHYSICAL REQUIREMENTS: The work is primarily sedentary.

Requirements may include prolonged walking, standing, sitting, or bending.

Carrying or lifting of medical records or documentation may be required daily.

Use of one or more computer programs and monitors simultaneously is typical and frequent.

Routine travel between the Hub facility and the assigned remote sites is required.