Clinical Documentation Improvement (CDI) Specialist Job at Pyramid Corporation, United States

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  • Pyramid Corporation
  • United States

Job Description

Clinical Documentation Improvement (CDI) Specialist

Immediate need for a talented Clinical Documentation Improvement (CDI) Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S (Remote).

Key Responsibilities:

  • Perform concurrent and retrospective inpatient chart reviews
  • Review provider documentation for completeness and accuracy
  • Assign and validate MS-DRGs
  • Develop compliant physician queries
  • Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture
  • Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams
  • Identify CC/MCC opportunities and documentation gaps
  • Support denial prevention and clinical validation initiatives
  • Educate providers regarding documentation best practices
  • Maintain productivity and quality standards while working remotely

Key Requirements and Technology Experience:

  • RN, BSN, MSN, MD or Foreign Medical Graduate
  • Minimum 4 years of clinical nursing or physician experience
  • Minimum 2 years of inpatient CDI experience
  • Experience with DRG assignment
  • Experience performing physician queries
  • Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM
  • BSN, MSN, MD, or higher clinical degree.
  • CCDS, CDIP, CCS, CPC, RHIA, or RHIT certification.
  • Experience with 3M CDI and coding applications.
  • ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.

Job Tags

Contract work, Immediate start, Remote work

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