Clinical Documentation Integrity Specialist

🕒 August 19

🏈 Alabama, Colorado, +14 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Mosaic Life Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🏥 Healthcare

💰 $250k Grant - Mosaic Life Care on 2023-08

Healthcare

Mosaic Life Care is a regional health system and medical provider based in Northwest Missouri. As a member of the Mayo Clinic Care Network, Mosaic provides a wide range of outpatient and acute care services across medical centers and clinics, offers urgent care (including an online "Hold My Spot" feature), a Community Nurse Line, online patient portal (myMosaic by MyChart), cardiac scoring screening, and patient-facing services like scheduling, billing, and medical records access. The organization emphasizes community-focused healthcare and access to Mayo Clinic expertise for local patients.

📋 Description

• Conduct basic to intermediate initial, concurrent, and retrospective clinical documentation reviews for selected admissions • Abstract data from concurrent and retrospective charts and computerized data systems using Official Coding Guidelines and Official Query Guidelines • Assign and update ICD-10-CM/PCS codes and baseline and working MS-DRG and APR-DRG assignments • Identify documentation clarification needs and communicate with providers using appropriate query tools • Review clinical validation denials and analyze appeal recommendations • Write first- and second-level denial appeals in collaboration with the physician advisor • Complete second-level, mortality, and quality reviews • Participate in staff training and departmental improvement activities • Use quality audit results to initiate changes in practice • Communicate with coders to ensure accurate DRG assignment • Collaborate with interdisciplinary team members, including rounding with physicians and attending team conferences • Participate in professional development through webinars, online education, and online meetings • Achieve CDI quality and productivity goals • Perform other duties as assigned

🎯 Requirements

• Candidates must reside in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, or Virginia for remote employment • Associate's Degree in Nursing required • 3 years of clinical experience in an ICU/Critical Care acute care setting required • Registered Nurse (RN) state licensure or compact state licensure in the designated work state required upon hire • Certified Clinical Documentation Specialist (CCDS) required within 2 years, or Certified Documentation Improvement Practitioner (CDIP) required within 2 years • Input and retrieve data, answer phones, speak clearly, and demonstrate precise hand-eye coordination, fine motor skills, and good writing skills • Clinical skills • Ability to work with interruptions and flexibility in hours and workflow • Excellent communication and critical thinking skills • Knowledge of care delivery documentation systems and related medical record documents • Knowledge of age-specific needs and disease processes • Ability to read and interpret medical records, analyze encoder instructions, and understand documentation • Ability to function independently, follow through, remain detail oriented, and prioritize work • Ability to spend prolonged periods looking at a computer screen, keyboarding, and sitting • Visual and hearing abilities • Bachelor's Degree in Nursing preferred • 1 year of experience in clinical documentation integrity functions preferred

🏖️ Benefits

• Concierge services • Employee lounge • Wellness programs • Free covered parking • Free on-site and virtual health clinics • Compensation and recognition