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Clinical Documentation Improvement Specialist
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Based on Idaho data
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What they do
A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.
$78,140 / year median in Idaho
+1% projected growth
Job Description
at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Clinical Documentation Improvement ( CDI ) Specialist, you will use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records. Every day, you will evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation, including focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, and other identified projects. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Participates in ongoing documentation improvement initiatives, including formal and informal education plans related to clinical documentation improvement to providers and the CDI team. To thrive in this role, you must have the following knowledge: + Highly skilled in CDI practices, coding, and documentation requirements related to quality outcomes, evaluation of medical record data for accuracy and reimbursement; self-motivated to stay abreast of CMS rules and regulations and incorporate those changes into daily practice. + Possess flexibility to work in a fast-paced and dynamic environment + Ability and willingness to learn other applications such as electronic calendar, MS Teams, MS SharePoint, One Drive, CDE One, and other CDI platforms + Effective interpersonal skills + Takes initiative, works independently, is self-directed, and highly motivated in work areas + Ability to resolve moderate to high complexity issues + Basic computer skills to include Word, Excel, PowerPoint, and Outlook/email + Ability to effectively provide and receive feedback, both positive and constructive. Excellent judgment and self-motivation, experience working independently with minimal supervision. + Demonstrated judgment, critical thinking, and independent decision-making •Here's what you will experience working as a Clinical Documentation Improveme To view full details and how to apply, please login or create a Job Seeker account