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Clinical Documentation Integrity (CDI) Specialist
Saint Paul Minnesota
St. Paul is the second city that forms Minnesotas Twin Cities. As a large business hub in the upper Midwest the St. Paul area is home to headquarters of many healthcare giants including Mayo Clinic Ecolab Allina and Essentia Health. Whether you are looking to relocate or are a current resident job opportunities in St. Paul are abundant
On Time Talent Solutions is seeking a Clinical Documentation Specialist to bridge the gap between the providers and hospital coders to clarify atrisk documentation to ensure accurate claim submission. You will be accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture an accurate representation of the severity of illness and facilitate proper coding.
Clinical Documentation Integrity (CDI) Specialist Responsibilities:
New acute inpatient admissions to the facility
Review Hospital Acquired Conditions (HAC) and other publicly reported patient quality or safety metrics (i.e. AHRQ Patient Safety Indicators)
Facilitates appropriate clinical documentation to support Hierarchical Condition Categories ICD10CM specificity and medical necessity of ambulatory visits
Identify opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding
Conducts record reconciliation and communicates effectively with hospital coding staff to assign a appropriate working DRG
Effectively collaborate and communicate with the hospital coding and denials teams to ensure appropriate CDI practices and accurate application of coding/documentation principals
Clinical Documentation Integrity (CDI) Specialist Qualifications:
An Associates degree in Nursing Diploma in Nursing Baccalaureate degree in Nursing or Masters degree in Nursing (MNHP or MSN) is required
Professional certification in Clinical Documentation (CCDS CDEO or Professional Coding Certification (CRC CPC or CCSP)
Two years of recent inpatient nursing experience in a medical surgical or ICU setting and/or recent work experience as a CDI nurse or healthcare quality professional with specific medical record review experience
Effective verbal and written communication
Required Experience:
Unclear Seniority
Contract