CDI Specialist - Lead

Mayo Clinic Jacksonville , FL 32277

Posted 4 months ago

City

Jacksonville

State

Florida

Telecommute

No

Department

Administration

Position description

The Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding. The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care.

Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.

Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans. The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers. Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.

Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies. Team Lead duties include timekeeping delegate and initiating counseling to staff regarding quality of work, productivity and team communication issues for corrective action/performance improvement plans.

Qualifications

Bachelor's Degree and 3 years' experience as a Clinical Documentation Improvement Specialist (CDIS) and Certified Coding Specialist (CCS) or combined 6 years' experience as a CDIS and CCS and,

Any of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P),

Registered Nurse (RN), completion of international or domestic medical program or,

Formal education (accredited college-level course work) in human anatomy and physiology, medical terminology, and disease process or,

Bachelor's degree or higher (candidates must also have completed coursework in medical terminology and anatomy and physiology) and,

Mastery of CDIS role based on productivity and quality of work and,

Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification and,

CCS (Certified Coding Specialist) certification and,

CRC (Certified Risk Adjustment Coder) certification

(Current staff in the CDI Lead role will be required to attain the CCS and CRC within two years of the approval date of the updated CDI Lead job description).

Additional qualifications

Demonstrated skills in analytical thinking, problem solving. Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team.

Self-motivated and able to work independently without close supervision. Demonstrated ability to work well with others in a creative and challenging work environment. Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.

License or certification

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Associated Degree Nurse (ADN-RN), completion of international or domestic medical program or,

Formal education (accredited college-level course work) in human anatomy and physiology, medical terminology, and disease process or,

Bachelor's degree or higher (candidates must also have completed coursework in medical terminology and anatomy and physiology) and,

Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification and,

Certified Coding Specialist (CCS) certification and,

Certified Risk Adjustment Coder (CRC) certification

Exemption status

Exempt

Compensation Detail

Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $2,976.00, based on a full-time position.

Benefits eligible

Yes

Schedule

Full Time

Site description

Jacksonville is the largest city in area in the continental United States. A beautiful coastal Florida city that features excellent year-round climate, over 20 miles of beaches and outstanding outdoor recreational, cultural and family-oriented amenities.

The "River City by the Sea" has an excellent school system, reasonable cost of living and a thriving business environment. Medical professionals and patients are drawn to Jacksonville by an extraordinary network of high-profile healthcare facilities. Jacksonville continues to grow as more people relocate from all over the U.S. and abroad, to see what the great River City has to offer!

Category

Administration, Business, Finance, Other Patient Care

Job posting number
117933BR

Recruiter

Sarah Martin

Equal opportunity employer

Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).



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CDI Specialist - Lead

Mayo Clinic