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Spec, cdi rn

Company Name:
Tenet
Title: SPEC, CDI RN
Location: KY-Louisville
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through ourrevenue cycle management,patient communications, andvalue-based caresolutions, we empower healthcare decision makers--hospitals, health systems, physicians, self-insured employers, and payers--to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conifer Health Solutions is currently hiring for an RN, CDI Specialist.
JOB SUMMARY
Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions or procedures, Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management.
CDI Specialist must display teamwork and commitment while performing daily duties
Must demonstrate initiative and discipline in time management and medical record review
Travel may be required to meet the needs of the facilities
Advanced knowledge of Medicare Part A and familiar with Medicare Part B
Intermediate knowledge of disease pathophysiology and drug utilization
Intermediate knowledge of MS-DRG classification and reimbursement structures
Critical thinking, problem solving and deductive reasoning skills
Effective written and verbal communication skills
Knowledge of coding compliance and regulatory standards
Excellent organizational skills for initiation and maintenance of efficient work flow
Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment
Understand and communicate documentation strategies
Recognize opportunities for documentation improvement
Formulate clinically, compliant credible queries
Ability to maintain an auditing and monitoring program as a means to measure query process
Ability to apply coding conventions, official guidelines, andCoding Clinicadvice to health record documentation
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Preferred: Acute Care nursing relevant experience
Zero (0) to two (2) years experience
Graduate from a Nursing program, BSN, or graduate
CERTIFICATES, LICENSES, REGISTRATIONS
Active state Registered Nurse license
Preferred: CDIP
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to sit for extended periods of time
Must be able to efficiently use computer keyboard and mouse
Good visual acuity
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
OTHER
Must be able to travel nationally as needed, not to exceed 10%

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