Clinical Documentation Specialist – III Inpatient

🔥 13 hours ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Manage service line integration strategically throughout the health system • Perform focused and second-level reviews • Assist the CDI Manager with planning, execution, delivery, data collection, reporting, and assigned projects • Collaborate with the CDI Educator/Manager on provider education • Serve as a system service line expert and attend related revenue integrity meetings • Identify and record principal and secondary diagnoses and procedures, and assign working DRGs • Conduct initial concurrent reviews and ongoing re-reviews for selected admissions • Identify documentation clarification needs through quality audits and initiate physician, nurse, or patient care coordinator queries • Educate providers and staff on documentation issues, guidelines, and unanswered queries • Promote compliance with CMS, Medicare documentation, coding, and billing regulations • Participate in service assessment, improvement, and regulatory compliance processes and report results • Collaborate with Quality to meet documentation standards for quality initiatives and outcome reporting • Collect, analyze, and submit accurate clinical documentation reports • Work with Coding Specialists on documentation, provider, and query issues • Mentor and advise Level I and II CDI Specialists

🎯 Requirements

• Certification in one of the following: Certified Documentation Integrity Practitioner (CDIP) through AHIMA; Certified Clinical Documentation Specialist (CCDS) through ACDIS; or Certified Documentation Expert Inpatient (CDEI) through AAPC • Three years of inpatient acute care coding experience OR three years of clinical RN experience in an inpatient acute care setting OR three years of clinical LPN experience in an inpatient acute care setting • Five years of experience in Clinical Documentation Integrity • Excellent written, verbal, and interpersonal communication skills • Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques • Ability to meet quality and productivity standards • Ability to concentrate and maintain accuracy during constant interruptions • Ability to prioritize job duties and adapt to workplace and assignment changes • Organizational and time management skills • Knowledge of anatomy, physiology, and medical terminology • Analytical and problem-solving skills • Proficiency in office software programs • Ability to work independently with minimal supervision • Ability to sit for long periods, with normal visual and hearing acuity and manual dexterity to operate computer and office equipment

🏖️ Benefits

• Full-time schedule • Exempt position • Remote work arrangement