Guidehouse
Clinical Documentation Improvement (CDI) Specialist - Remote
Guidehouse, Washington, District of Columbia, us, 20022
Clinical Documentation Improvement (CDI) Specialist - Remote
Join to apply for the
Clinical Documentation Improvement (CDI) Specialist - Remote
role at
Guidehouse Clinical Documentation Improvement (CDI) Specialist - Remote
Join to apply for the
Clinical Documentation Improvement (CDI) Specialist - Remote
role at
Guidehouse What You Will Do
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards. Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding. Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team. Initiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process,” October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).
Job Family
CDI Specialist
Travel Required
None
Clearance Required
None
What You Will Do
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.
Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding. Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team. Initiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process,” October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).
What You Will Need
Bachelor's degree One of the following: RN, MD, or MD Equivalent (MBBS) 2-4 years acute care inpatient hospital coding or CDI experience Familiarity with encoder and DRG assignment Maintain current working knowledge of official coding guidelines and coding clinics
What Would Be Nice To Have
CCDS, CDIP preferred Strong clinical understanding of disease process Demonstrate critical thinking, analytical skills, and ability to resolve problems. Strong knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes Ability to converse with physicians in sometimes difficult scenarios Strong typing and computer skills; proficiency with EHR systems, CDI software systems and encoders
#Indeedsponsered
#IndeedRemote
The annual salary range for this position is $61,000.00-$101,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits Include
Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Business Consulting and Services Referrals increase your chances of interviewing at Guidehouse by 2x Get notified about new Clinical Specialist jobs in
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Join to apply for the
Clinical Documentation Improvement (CDI) Specialist - Remote
role at
Guidehouse Clinical Documentation Improvement (CDI) Specialist - Remote
Join to apply for the
Clinical Documentation Improvement (CDI) Specialist - Remote
role at
Guidehouse What You Will Do
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards. Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding. Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team. Initiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process,” October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).
Job Family
CDI Specialist
Travel Required
None
Clearance Required
None
What You Will Do
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards.
Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding. Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team. Initiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “Managing an Effective Query Process,” October 2008 and “Guidance for Clinical Documentation Improvement Programs”, May 2010).
What You Will Need
Bachelor's degree One of the following: RN, MD, or MD Equivalent (MBBS) 2-4 years acute care inpatient hospital coding or CDI experience Familiarity with encoder and DRG assignment Maintain current working knowledge of official coding guidelines and coding clinics
What Would Be Nice To Have
CCDS, CDIP preferred Strong clinical understanding of disease process Demonstrate critical thinking, analytical skills, and ability to resolve problems. Strong knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes Ability to converse with physicians in sometimes difficult scenarios Strong typing and computer skills; proficiency with EHR systems, CDI software systems and encoders
#Indeedsponsered
#IndeedRemote
The annual salary range for this position is $61,000.00-$101,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits Include
Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Seniority level
Seniority level Associate Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Business Consulting and Services Referrals increase your chances of interviewing at Guidehouse by 2x Get notified about new Clinical Specialist jobs in
District of Columbia, United States . District of Columbia, United States 3 weeks ago Clinical Documentation Integrity (CDI) Specialist - Remote
District of Columbia, United States $61,000.00-$101,000.00 5 days ago Clinical Sleep Specialist - Washington, DC
District of Columbia, United States 2 months ago Clinical Documentation Integrity Specialist - Second Level Reviewer
District of Columbia, United States $98,000.00-$163,000.00 5 days ago Sterile Processing Clinical Education Specialist (Mid-Atlantic)
Washington, DC $90,000.00-$110,000.00 5 days ago Washington, DC $75,000.00-$95,000.00 1 day ago Sterile Processing Clinical Education Specialist (Mid-Atlantic)
Washington, DC $90,000.00-$110,000.00 1 week ago Field Clinical Specialist (DC) - Inari Medical
District of Columbia, United States 2 days ago Clinical Imaging Specialist (Pacific North West)
Washington, DC $89,760.00-$134,640.00 6 days ago Clinical Orthodontic Integration Specialist - DC
Licensed Clinical Consultant & Program Expert (MH/BH/SA/DD) - DMV Area
Washington, DC $79,072.00-$95,000.00 2 days ago Medical Sales Representative - Washington, D.C. (Uncapped Commission)
Washington, DC $70,000.00-$300,000.00 1 week ago Psychologist Clinical Provider - Trust and Safety (Washington DC, USA)
Healthcare Financial Transformation - Managing Consultant - Clinical Integrity (CDI/Outpatient Coding Background)
District of Columbia, United States $102,000.00-$170,000.00 1 week ago ASCP Board of Certification - American Society for Clinical Pathology Board of Certification Tutor
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr