Clinical Documentation Specialist, CDI

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $96k - $132k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🏥📝 Medical Writer

👻 Ghost score 0%

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Logo of Solventum

Solventum

10,000+ employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

Solventum is a healthcare-focused company renowned for its innovative solutions aimed at improving medical and oral care outcomes. The company offers a variety of medical technologies, including advanced wound care, surgical solutions, and sterilization products. Solventum also provides advanced oral care solutions, health information and technology services, and purification and filtration products for biopharmaceutical applications. Furthermore, Solventum places a strong emphasis on sustainability and education, providing resources and training for healthcare professionals globally. Their commitment to innovation and better healthcare has made them a leader in the healthcare industry, dedicated to enhancing patient safety and healthcare efficiencies.

📋 Description

• Review inpatient medical records concurrently and/or retrospectively for documentation accuracy, completeness, and compliance • Maintain a 98% accuracy rate • Identify opportunities to clarify diagnoses, procedures, POA indicators, severity of illness, risk adjustment, and clinical validation • Initiate compliant physician queries for conflicting, incomplete, or nonspecific documentation • Collaborate with coding staff to support accurate ICD-10-CM/PCS coding and MS-DRG/APR-DRG assignment • Monitor documentation trends related to mortality, quality indicators, HACs, and PSIs • Conduct clinical validation reviews for sepsis, respiratory failure, encephalopathy, malnutrition, acute kidney injury, and other high-risk conditions • Maintain a 35–40% query rate, review 20–25 cases per day, and achieve 98% accuracy • Participate in multidisciplinary rounds, provider education, and documentation improvement initiatives • Assist with denial prevention through documentation integrity initiatives • Stay current with CMS, ICD-10, AHA Coding Clinic, and organizational compliance standards • Comply with corporate policies, procedures, and security standards

🎯 Requirements

• Valid Registered Nurse license • Bachelor’s degree or higher, completed and verified prior to start • Seven (7) years of nursing experience • Five (5) years of experience in the inpatient acute care setting • Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG methodologies • Clinical knowledge and application to coding • Experience in CCDS, CCS, or CDIP with seven (7) years of clinical documentation/DRG validator experience • Experience with telecommuting, EMRs, electronic tools, and current chart auditing skills • Knowledge of Solventum HIS software portfolio, including 360 Encompass • Proficient in Microsoft Word, Excel, PowerPoint, and other Microsoft Office programs • Excellent verbal, written, presentation, analytical, and organizational skills • Must be legally authorized to work in the country of employment without employment visa sponsorship

🏖️ Benefits

• Medical, Dental & Vision • Health Savings Accounts • Health Care & Dependent Care Flexible Spending Accounts • Disability Benefits • Life Insurance • Voluntary Benefits • Paid Absences • Retirement Benefits • On-site onboarding travel arrangements and related expenses paid by the company • Relocation Assistance may be authorized

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