CDI Specialist Sr.

Mayo Clinic Phoenix , AZ 85002

Posted 3 days ago

City

Phoenix

State

Arizona

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. Opportunity for advanced positions within CDI. Advanced positions include Quality Education Specialist; additional roles TBD but may include: Audit Reviewer, Claims Denial Reviewer; PSI & HAC Reviewer, supervisory roles, AHIMA Approved CDI Trainer.

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

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 $, based on a full-time position.

Benefits eligible

Yes

Schedule

Full Time

Hours / Pay period
80

Schedule details

Flexible day hours.

Weekend schedule

Possible weekends.

Site description

Over the next four years, Mayo Clinic is making significant investments in both the physical and technological future of health care, through doubling the size of the Mayo Clinic campus in Phoenix, inclusive of practice, education, and research activities. Mayo Clinic's campuses in Arizona are located in Phoenix and Scottsdale, in the beautiful Sonoran Desert. The region is known as the Valley of the Sun, a metropolitan area with more than 4 million residents in 25 cities and towns.

With Phoenix being the sixth largest city in the nation, this sunny "desert metropolis" offers the amenities of a big city in the midst of a strikingly beautiful, rugged, southwest landscape.

Scottsdale frequently earns praise as a highly desirable place to live. The city's more than 200,000 residents enjoy a vibrant mix of culinary hot spots, arts and entertainment, professional and collegiate sports teams, and community resources. The region's desert climate promotes an outdoor lifestyle with a full complement of sports and recreation.

Category

Administration, Business, Finance

Job posting number
128601BR

Recruiter

Claudia Kotchick

Equal opportunity employer

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



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