Clinical Documentation Improvement Specialist (CDI)

Gratitude Inc

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4 days ago

Clinical Documentation Improvement Specialist (CDI)

1-4 Year(s)

Manila (Taguig)

Job Description

Key Skills

PH - Registered Nurse BS Nursing CDI

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Gratitude Inc. is a leading professional HR Tech Recruitment firm specializing in recruiting permanent, contract, and temporary positions for the world's top companies. Our base is in India, Philippines, Malaysia, Kenya, Nigeria, Singapore, Vietnam, Thailand, and USA. We are a direct sourcing partner Company of the different top BPOs offshore and onshore.

We have an ongoing hiring for Clinical Documentation Improvement Specialist for our Healthcare BPO Partner in Taguig.

Job Title: CDI Specialist

Work set-up: Onsite (Science Hub 2 Mckinley Hill Taguig/Makati)

Work schedule: Rotational

Salary: 50,000 - 100,000 (Depending on the experience)

Target start date: Asap

Education and Certifications:

With an active PHRN license or a BS Nursing graduate or Medical Graduate/Doctor, MD, or Advanced practice registered nurse (APRN)

With 1+ year of relevant experience as Clinical Documentation Improvement Specialist

Certified Clinical Documentation Specialist (CCDS) demonstrating specialized clinical documentation knowledge.

Certified Coding Specialist (CCS) or Certified Documentation Improvement Practitioner (CDIP)

Has relevant experience as a Certified coding specialist or Utilization reviewer or Medical coding

Qualifications:

Expanding on the CDI I role to include reporting and data analysis and creation of service line dashboards.

It includes additional focus on provider interaction during rounds and educational sessions, and creation of educational content for several assigned service lines, incorporating the clinical units that house the majority of the patients these service lines follow.

The CDI II is responsible for ensuring efficiency and productivity of the processes and workflows of his or her team, participating in the orientation of new staff, reporting any issues to the CDI III or leadership, and potentially getting involved in committees/projects.

Desired Skill set:

7+ years of clinical experience in a hospital setting with extensive clinical knowledge and understanding of pathology/physiology.

1+ years has been in CDI and obtained at least one certification.

Knowledge of age-specific patient needs and the elements of disease processes and related procedures.

Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.

Certifications that CDI Level 2 can obtain either CCS or CDIP

Has coding knowledge

Responsibilities:

Conducts initial and follow-up concurrent reviews on targeted admissions for opportunities to clarify documentation in the medical record for accurate reflection of the acuity of the patient and justifying the level of care.

Coordinates with coding/HIM/UR and other departments to achieve a record that reflects the acuity of the patient and level of care provided.

Review medical record concurrently for documentation not yet in the record but supported by clinical indicators. Performs a thorough chart review to identify co- morbidities/complications, and documents these appropriately within the concurrent CDS worksheet. Determines the appropriate principal diagnosis of the patient.

Demonstrates an understanding of the importance of, and tries to capture, all appropriate secondary diagnoses for quality rating purposes.

Documents findings in workflow tools, noting all key information used in the tracking process.

Uses relationship-building and strong communication skills to develop a rapport with providers to clarify information in the medical record.

Uses appropriate querying tools (templates) to capture needed documentation.

Queries the medical staff, when necessary, by written and/or verbal communication to obtain accurate and complete physician documentation that supports the patient condition(s) and treatment plan.

Provides education to physicians on the importance of complete documentation and key documentation concepts during regular physician meetings or individually with physicians.

Reviews the progress of the CDI program by interpreting performance, process, and quality ratings reports. Able to identify areas of focus through report analysis.

Maintains reasonably regular, punctual attendance consistent with Health policies, the ADA, FMLA, and other federal, state, and local standards. Maintains compliance with all Health policies and procedures.

To apply, please submit your updated resume on this post or via email at isay@gratitudephilippines.com and answer the pre-screening questions.

Further details will be discussed once invited for an interview.

Our recruitment team will reach out to you via WhatsApp or direct call once shortlisted.

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Role

Clinical Coding Analyst

Timings

Rotational Shifts (Permanent)

Industry

Medical / Healthcare / Hospital

Work Mode

Work from office

Process

Semi-Voice

Functional Area

ITES / BPO / Customer Service

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.