CDI Specialist Position Available In Lexington, South Carolina

CDI Full Time Day Shift 8-5 M-F
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care.
The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing facility in the Carolinas, an Alzheimer’s care center and nearly 80 physician practices. Its postgraduate medical education programs include family medicine and transitional year. Job Summary Provides thorough concurrent review of medical record clinical documentation to capture documented and potential principal diagnosis, secondary diagnoses and procedures affecting DRG assignment and profiling outcomes. Queries the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician documentation that supports DRG assignment and the severity of patient illness and risk of mortality.

Minimum Qualifications Minimum Education:

Associate’s Degree in Nursing

Minimum Years of Experience:

3 Years of Clinical Experience in an Acute Care Setting
Substitutable Education & Experience (Optional): None

Required Certifications/Licensure:

Current RN License to Practice in the State of South Carolina;
Currently has certification from ACDIS (Certified Clinical Documentation Specialist – CCDS) or AHMIA (Certified Documentation Improvement Practitioner – CDIP) OR eligible certification must be obtained from one of these entities within 2 years of entry into the role.

Required Training:

None

PREFERRED QUALIFICATIONS

3 years of ACUTE care; Current or previous Inpatient CDI experience Essential Functions Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and Medical Records coder to identify principal diagnosis options, secondary diagnoses and procedures, to assign working DRGs for identified populations.
Identifies need to clarify documentation in records. Utilizes strong communication skills with physician, physician extender, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation. Able to conduct thorough medical record review on initial and extended-stay concurrent reviews on all selected inpatient admission and documents findings to identify MCCs/CCs, PSI, HAC, mortality second-level review, and patient length of stay that supports patient’s severity of illness and risk of mortality denoting all key information utilized in the tracking process.
Maintains complete confidentiality of patient information, in addition to hospital and individual physician practice pattern data.
Assure all documentation is accurate, complete, and compliant, supporting acute or chronic conditions and medical necessity. Duties & Responsibilities Develop and sustain positive working relationships with providers, advanced practice providers, administrators, peers, and other collaborating departments to promote the success of the CDI program.
Able to effectively prioritize tasks with workflow.
Stay up to date with industry standards by participating in internal and external continuing education related to

ACDIS, ICD-10-CM

coding, ICD-10-PCS coding, AHA Coding Clinics, and CMS Official Coding Guidelines
Able to utilize software, programs, and other technology tools to prioritize and maintain workflow.
Performs all other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs)
Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
Employer paid life insurance – equal to 1x salary
Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance
LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
Tuition reimbursement
Student loan forgiveness Equal Opportunity Employer It is the policy of LMC to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. LMC strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. LMC endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.