Clinical Documentation Improvement (CDI) Lead

Job Description - Clinical Documentation Improvement (CDI) Lead (250003BP) Job Description Clinical Documentation Improvement (CDI) Lead - ( 250003BP ) Description Job Summary: Under general supervision of the CDI Manager following established policies, procedures and professionalguidelines serves as a Lead CDI Specialist and second level reviewer for the department. The CDI Lead is an expert clinician who works inpartnership withmultidisciplinary teams, including but not limited to Coding, Quality, Infection Control and medical staff to improve the qualityand accuracy of the medical record documentation. The CDI Lead monitors the accurate reporting of SOI/ ROM scores and MCC /CC capturerates for DRGs assigned. The CDI Lead maintains clinical and professional competencies for subject matter expertise in clinical documentationimprovement concepts. They are responsible for concurrently reviewing inpatient medical records to identify vague, inconsistent orincomplete documentation within the medical record and assign the most appropriate medicalseverity diagnostic related group (MS-DRG).Further clarification of the principal and secondary diagnoses is carried out by collaborating with the physician(s) and/or care providerdesignees as appropriate. Participates in the educational and onboarding process of new team members. Qualifications RN, Bachelors Degree · Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS) or obtain and maintain certification within one year of employment Greater than 5 years clinical experience and greater than 3 years experience as a Clinical Documentation Improvement Specialist Preferred clinical experience with acute care experience at a large facility Preferred experience with 3M360 Clinical Documentation and EPIC electronic medical record. Excellent communication and interpersonal skills; ability to communicate verbally and in writing with individuals of varying educational levels Credible with Physician leadership Significant financial and analytical skills Analytical skills necessary to clinically assess medical records required. Primary Location

Primary Location : Tampa Work Locations

Work Locations : TGH WFLA 200 S Parker St Tampa 33606 Eligible for Remote Work : Fully Remote Job

Job : Health Information Management Organization

Schedule

Schedule : Full-time Scheduled Days : Monday, Tuesday, Wednesday, Thursday, Friday

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