Clinical Documentation Coordinator – Second Level Reviewer

Job not on LinkedIn

🔥 1 hour ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Bronson Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

Healthcare • Medical Services • Hospital

Bronson Healthcare is a comprehensive healthcare provider located in Michigan, offering a wide range of medical services tailored to patients' needs. With a focus on creating positive patient experiences, Bronson Healthcare provides various services, including primary care, specialized treatments, and emergency care through its numerous facilities. The organization is dedicated to ensuring quality healthcare and offers educational resources for better health management.

📋 Description

• Conduct comprehensive secondary clinical chart reviews for targeted patient populations. • Identify missed opportunities for documentation clarification, DRG and code discrepancies, mortality review issues, HACs, PSIs, and priority diagnoses. • Resolve DRG or other coding discrepancies as a liaison between Coding and CDI. • Collaborate with the CDI manager to educate the CDI team based on second-level review findings. • Work with physicians and clinicians to improve documentation quality and completeness through queries and provider education. • Analyze and interpret clinical data to identify documentation gaps, inconsistencies, and improvement opportunities. • Query providers using the concurrent query process and ACDIS/AHIMA compliant query-writing guidelines. • Communicate secondary-review findings to Clinical Documentation Specialists for follow-up and query initiation. • Collaborate with Compliance, Revenue Cycle leaders, providers, quality, case management, and Coding to support accurate, timely, compliant documentation and coding. • Ensure documentation accurately reflects patient severity of illness, risk of mortality, diagnoses, procedures, and current CMS or regulatory standards.

🎯 Requirements

• Bachelor's degree required. • Graduation from an accredited School of Nursing; BSN or bachelor's degree in a health-related field preferred. • 3–5 years of experience as a Clinical Documentation Integrity Specialist required. • Strong clinical and critical-thinking skills. • Strong understanding of disease processes, clinical indications and treatments. • Understanding of provider documentation requirements for severity of illness, risk of mortality, diagnoses, and procedures. • Knowledge of Medicare, Medicaid, and commercial payer coding and billing rules. • Understanding of hospital-acquired conditions (HACs), patient safety indicators (PSIs), and mortality models. • Experience with encoder and MS-DRG/APR-DRG assignments. • Working knowledge of Official Coding Guidelines, Coding Clinic, and federal DRG updates. • Currently licensed or licensed by endorsement as a Registered Nurse, MD, or MD equivalent. • CDIP or CCDS certification required or obtained within six months. • Experience as an experienced Clinical Documentation Integrity Specialist or CDI Second Level Reviewer.

🏖️ Benefits

• Full-time employment • First shift schedule • 40 scheduled weekly hours • 80 hours per pay period