Role OverviewPerforms advanced clinical documentation reviews to ensure accuracy, completeness, and integrity of the medical record in support of quality outcomes, reimbursement, and regulatory compliance.
What You Will Do
Conducts second-level clinical documentation reviews, comprehensive mortality reviews, payer denial reviews, and focused reviews of Patient Safety Indicators and Hospital-Acquired Conditions.
Why It Might Be a Fit
Requires strong analytical, critical thinking, and problem-solving skills, with ability to evaluate complex clinical scenarios and identify documentation and coding inconsistencies.
Requirements
- Bachelor of Science in Nursing (BSN) required; Master’s degree preferred
- CCDS certification required
- Prior CDI experience required with a minimum of 3–5 years in CDI, including advanced review experience
- Minimum of 5 years clinical experience in an acute care setting required
- Experience with mortality review, denial management, clinical validation, and DRG integrity strongly preferred
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