Provide day-to-day operational leadership and subject matter expertise for a team of CDI specialists, ensuring documentation accuracy and regulatory compliance.
Serve as a clinical and coding resource, assisting with complex cases, DRG validation, and performance oversight.
Foster collaboration across multidisciplinary stakeholders to enhance communication and achieve accurate clinical documentation.
Review medical records within 24-48 hours of admission to evaluate documentation for accurate DRG assignment, severity of illness, and risk of mortality.
Conduct follow-up reviews every 2-3 days and formulate compliant provider queries regarding missing or conflicting documentation.
Educate patient care team members on documentation guidelines and collaborate with HIM coding professionals to ensure accuracy and integrity.
CommonSpirit Health is a large nonprofit Catholic healthcare organization delivering integrated health services. It has over 157,000 employees and 45,000 nurses across 24 states.
Provides oversight of coding teams, holding them accountable to enterprise established KPIs, including DNFC.
Manages staff to ensure coding team meets productivity and quality standards, developing performance improvement plans as needed.
Acts as a liaison between CDI, physicians, clinical quality, and patient financial services to ensure accuracy and integrity of inpatient medical records.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, it has more than 157,000 employees and operates across 24 states, delivering over 20 million patient encounters annually.
Lead daily CDI operations, including staffing, workload balancing, and training for clinical documentation improvement.
Conduct real-time clinical reviews for complex cases and analyze data to ensure quality and accuracy.
Collaborate with physicians and staff to enhance documentation quality and compliance with coding guidelines.
Adventist HealthCare is a faith-based, not-for-profit healthcare organization providing comprehensive services including acute-care hospitals, rehabilitation, outpatient centers, and home care. With over 6,000 employees, they are the largest healthcare provider in Montgomery County, Maryland, focused on extending God's care through physical, mental, and spiritual healing.
Review and evaluate medical record documentation for completeness, accuracy, and compliance.
Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.
Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes.
We improve the quality and accuracy of clinical documentation through expert CDI consulting. Our collaborative, mission-driven team offers opportunities for continuous learning and professional growth.
Oversee clinical/coding DRG audits to ensure accuracy and compliance with internal policies and industry standards.
Maintain strong client relationships through accurate audits, understanding client needs, and reporting denial trends.
Coach, develop, and mentor clinical staff to achieve quality performance using servant leadership principles.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. The company offers a dynamic, innovative environment with a competitive compensation package including health insurance, 401(k) with match, and paid parental leave.
Provide executive oversight for HIM, coding, and CDI operations, ensuring alignment with strategic priorities and regulatory compliance.
Establish and enforce documentation quality standards and coding accuracy to optimize reimbursement and maintain medical record integrity.
Manage vendor performance for HIM, coding, CDI, transcription, and ROI services, ensuring adherence to quality and regulatory requirements.
CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics and 158 hospital-based locations across 24 states. With more than 160,000 employees, 45,000 nurses, and 25,000 physicians, they provide over $5 billion in charity care and community benefits each year.
Assign diagnostic and procedure codes using designated systems and review inpatient records for accuracy.
Identify and resolve coding edits and discrepancies to ensure claim accuracy and compliance.
Communicate effectively and meet productivity metrics to optimize revenue cycle management.
CommonSpirit Health is building a healthier future through integrated health services as one of the nation's largest nonprofit Catholic healthcare organizations. They deliver over 20 million patient encounters annually with more than 157,000 employees across 24 states, contributing over $4.2 billion annually in charity care and community benefits.
Serves as a mentor for the coding team, assisting with training and escalated cases.
Interacts with clinicians on documentation deficiencies and collaborates with other departments.
Abstracts medical record documentation into surgical CPT codes and crosswalks to ASA codes.
US Anesthesia Partners provides anesthesia and healthcare revenue cycle management services. They employ a large team of coders and clinical staff, with a focus on quality and compliance.
Facilitate improvement in provider-based clinical documentation accuracy to reflect patient acuity and severity.
Conduct concurrent record reviews and formulate compliant documentation queries to improve accuracy.
Educate clinicians and facility management on documentation opportunities and coding reimbursement issues.
Banner Health is a large nonprofit health care system with hospitals, clinics, and research centers across multiple states. They focus on skilled and compassionate care using advanced technology to improve patient outcomes.
Define product requirements, audit methodologies, and business logic for scalable DRG audit workflows.
Partner with data science and AI teams to develop clinical entity extraction and validate model outputs.
Represent the voice of the customer in client discovery sessions and product demonstrations.
Abacus Insights transforms healthcare data for health plans, helping them break down silos to create a trusted data foundation for better decisions. Backed by $100M from top investors, they are a bold, curious, and collaborative team that embraces AI and automation.