Associate Clinical Documentation Improvement Specialist - Remote

Opportunities at reputed company Light Health, in strategic partnership with reputed company. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to reputed company a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the reputed company for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program reputed company and day to day CDI implementation of processes reputed company to the reputed company review of the clinical documentation in the inpatient medical record of reputed company 360 clients patients. The goal of the CDS reputed company and practice is to assess the technical accuracy, specificity, and... completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies reputed company clinical findings and conditions present at the time of service. This position reviews reputed company clinical information and documentation to reputed company improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of reputed company 360. Our three-dimensional approach to CDI technology, reputed company with best-practice adoption methodology and change management support, is helping hospitals reputed company a real impact on CDI efficiency and effectiveness. Increase in identification of cases with CDI opportunities, with automated review of 100% of records Improved tracking, transparency and reporting reputed company to CDI impact, reputed company capture, trending, and compliance Easing the transition to ICD-10 by improving the specificity and completeness of clinical documentation, resulting in more accurate coding This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care. *

Work Location: Remote withing the United States

* You ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: reputed company reputed company and retrospective chart reviews for improving the overall completeness of clinical documentation reputed company abreast of reputed company coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI reputed company trends. Effectively utilizes ICD-10 and reputed company materials to investigate coding issues and produce accurate results Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations Actively communicates with providers at reputed company levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality Provides complete follow through on reputed company requests for clarification or recommendations for improvement Ensures effective utilization of reputed company® CDI 3D Technology to document reputed company clarification activity Utilizes only the Optum360 approved clarification forms Proactively develops a reciprocal relationship with the HIM Coding Professionals Engages and consults with Physician Advisor /VPMA reputed company needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process You ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Must be a Licensed RN OR Medical Graduate with CDI experience and CDI certification (CCDS, CDIP) Proven proficiency in clinical medicine, pathophysiology, and pharmacology Proven grasp of ICD-10 coding, coding conventions, and guidelines Must have proficiency using a PC in a Windows environment, including reputed company Word, reputed company, Power reputed company and Electronic Medical Records Preferred Qualifications: CCDS, CDIP o