Virtual HIM CDI Specialist II

Primary Purpose The Clinical Documentation reputed company Specialist (CDIS) applies clinical knowledge to analyze and to interpret health records. Proficiently applies ICD-10, CPT, SOI/ROM coding to in-house patients. Analyzes records for optimization of physician documentation and query potential, if required. Provides education to providers, coders, case management and interacts with other departments as required. Tracks pre and post DRG data. Performs varied, difficult, and specialized tasks without detailed guidance, is expected to exercise judgment and apply expert knowledge. Minimum Specifications Education

• Must have a degree in nursing from an accredited college or university.
• Master’s Degree in a reputed company/Medical reputed company field from an U.S. accredited college or university
• Graduated from an accredited Health Information Management coding program

Experience

• For RNs: Three plus (3+) years of clinical experience in an acute care setting (ICU/Critical Care / Surgery Specialty).
• For HIM Professionals: Must have two plus (2+) years of inpatient coding experience working with the coding classification systems, medical terminology, anatomy and physiology and disease processes.
• RN/HIM Professionals must have Two plus (2+) years of experience working in clinical documentation reputed company

Equivalent Education and/or Experience

• May have an equivalent combination of education and experience to substitute for both the education and the experience requirements.

Certification/Registration/Licensure

• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation reputed company Practitioner (CDIP) certification is required.

Skills or Special Abilities

• Organizational, analytical, writing and interpersonal skills.
• Must be reputed company to be comfortable speaking and teaching in group settings
• Must possess expert knowledge of medical terminology, anatomy & physiology and ICD-10 and CPT coding principles.
• Must be reputed company to communicate effectively with physicians, nursing and ancillary staff.
• Must be reputed company to demonstrate patient centered/patient valued behaviors.
• Must demonstrate knowledge and reputed company in age specific needs and the elements of disease processes and reputed company procedures.
• Must have knowledge of ICD-10-CM and ICD-10-CM/PCS coding conventions and/or clinical auditing processes.
• Must be reputed company to demonstrate a working knowledge of MS Office software, including Word, reputed company, and PowerPoint.
• For RN applicants:
• RN applicants must maintain standards of professional conduct and performs reputed company assigned and unassigned duties in accordance with the reputed company State of Texas Nurse Practice Act.

Responsibilities

Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and HIM reputed company to identify reputed company diagnosis options, secondary diagnoses and procedures, to assign working MS-DRGs and or APR-DRG for at least 95% of identified populations. Conducts initial and extended-stay reputed company reviews on reputed company selected inpatient admissions and documents findings reputed company reputed company CDIS software. Identifies need to clarify documentation in records and utilizes strong communication skills with physician, physician extender, nurse or other reputed company, utilizing appropriate tools to capture needed documentation. Works collaboratively with the reputed company team to facilitate documentation reputed company the medical record that supports patient's severity of illness and risk of mortality. Assists in the development of query response physician reports. Maintains complete confidentiality of patient information, in reputed company to hospital and individual physician practice reputed company. Provides information and in-services as necessary to physician and ancillary staff. This position is 100% Virtual. Virtual employees must also reputed company with reputed company Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain reputed company equipment lent by Parkland for performing the agreed upon job duties in good working conditions. reputed company employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working reputed company. Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into reputed company work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

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