Revenue Cycle CDI Specialist

Job Summary:

• Responsible for reviewing medical records to facilitate accurate provider documentation for DRG assignment, severity of illness, and risk of mortality.
• Acts as a liaison between providers, clinical quality, and patient financial services to ensure accuracy and integrity of inpatient medical records.

Key Responsibilities:

• Complete initial medical record reviews within 24-48 hours of admission and conduct follow-up reviews every 2-3 days.
• Formulate compliant provider queries and follow up on open queries to ensure timely responses.
• Educate patient care team members on documentation guidelines and collaborate with HIM coding professionals.

Requirements:

• Bachelor's degree in Nursing or HIM, with 2 years acute care hospital CDI experience and inpatient coding auditor experience.
• Required certifications: RHIT, CCS, RN; CCDS or CDIP preferred.
• Experience with encoder and EMR systems like Optum eCAC, Solventum, EPIC, Cerner, Meditech.