Clinical Documentation Specialist Second Level Reviewer

University Of Washington Seattle , WA 98113

Posted 2 months ago

UW MEDICAL CENTER

  • MONTLAKE has an outstanding opportunity for a Clinical Documentation Integrity Specialist (CDIS) Second Level Reviewer.

WORK SCHEDULE

Full-time day shift. The work is remote or hybrid of in office and remote.

POSITION HIGHLIGHTS

The Clinical Documentation Integrity Specialist (CDIS) Second Level Reviewer, reviews clinical documentation, makes judgements regarding the completeness and quality of that documentation, and facilitates modifications to clinical documentation through communication with physicians, practitioners, and medical records coding staff.

DEPARTMENT DESCRIPTION

The CDIS Second Level Reviewer completes target DRGs specified by management. This role supplements team record review coverage with a focus on CC/MCC capture rate. In addition, the Second Level Reviewer works on Clinical Validation Denial appeals in collaboration with medical records coding staff, patient financial services (PFS) and compliance.

PRIMARY JOB RESPONSIBILITIES

Ensures that pertinent patient conditions and treatments are documented such that appropriate reimbursement is received for the level of acuity and service rendered to all patients using a DRG based payer (Medicare) methodology.

Verifies the accuracy and completeness of clinical information used for measuring and reporting outcomes related to patient care, physician practice and the medical center performance.

Educates all members of the patient care team regarding these aspects of clinical documentation on an ongoing basis.

REQUIREMENTS

Please apply only if you meet the listed requirements below.

Current WA RN License

Minimum combined total of 8 years of nursing experience to include acute inpatient hospital/surgical experience and a minimum of 2 years of CDI experience.

Certification in CDI (CCDS, CDIP or CCS) and maintain CE's.

High attention to detail and accuracy.

Comfortable navigating new and existing software systems and electronic medical records.

ABOUT UW MEDICAL CENTER-MONTLAKE

UW Medical Center is an acute care academic medical center located in Seattle with two campuses: Montlake and Northwest.

As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report) and nationally ranked in seven specialties, UW Medical Center prides itself on compassionate patient care as well as its pioneering medical advances.

The UW Medical Center-Montlake campus is located on the edge of the beautiful UW campus which includes many amenities available to our staff as well as very convenient public transit options including the Sound Transit's light rail station across the street.

Excellence. Exploration. Education. Become part of our team. Join our mission to make life healthier for everyone in our community.

ABOUT UW MEDICINE - WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center

  • Montlake, UW Medical Center

  • Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Find your place at Washington's only integrated health system devoted to improving the health of all people. Join our mission to make life healthier for everyone in our community.


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Clinical Documentation Specialist Second Level Reviewer

University Of Washington