Job Description

Clinical Documentation Improvement Specialist Join to apply for the Clinical Documentation Improvement Specialist role at Luminis Health Overview Position Objective : Reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Remains aware of the continual changes in Federal and State regulations for prospective payment, keeps informed of changes in treatment modes and new procedures, and performs coding when physician documentation is vague or missing. Responsibilities Reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters; Translates diagnostic phrases utilized by healthcare providers into coded form; Interacts with the healthcare provider to ensure that the terms have been translated correctly; Assigns the appropriate DRG after concurrent review of the medical record; Works as a part of a coding team; Maintains awareness of the continual changes in Federal and State regulations for prospective payment; Keeps informed of changes in treatment modes and new procedures, and to perform coding when physician documentation. Qualifications Required Education: At least one of the following: Physician, Registered Nurse, Nurse Practitioner, Physician Assistant, and/or a Professional Coder. Required Experience: Minimum of three-five years of health care experience; strong medical-surgical background preferred; experience with utilization management, coding/DRG, billing, auditing and various health care payers preferred; clinician preferred and/or CDIP/CCDS credential. Knowledge, Skills, Abilities: Working knowledge of basic computer programs and Microsoft Office Suite; typing; ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.; inpatient coding skills; high level of interpersonal and communication skills; chart review experience; EMR and CDI software experience preferred; regulatory background and DRG reimbursement knowledge preferred. Working Conditions Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Reasonable expectation that employees in this position will not be exposed to blood-borne pathogens. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. Pay Range $93,120—$136,344 USD Luminis Health Benefits Overview Medical, Dental, and Vision Insurance Retirement Plan (employer match for employees who work more than 1000 hours in a calendar year) Paid Time Off Tution Assistance Benefits Employee Referral Bonus Program Paid Holidays, Disability, and Life/AD&D for full-time employees Wellness Programs Employee Assistance Programs and more Benefit offerings based on employment status Text notifications Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply. Luminis Health is not responsible for any charges incurred by the recipient. #J-18808-Ljbffr Luminis Health

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