Job description
CDI Specialist - Fully Remote
Pay Rate - Commensurate to Experience
Requirements
- EITHER RN or RHIA, RHIT with CCS or CCDS required
- Candidate must have Nuance CDE -1 experience & Cerner experience
- Bachelor's Degree in Nursing or foreign or domestic Medical Degree
- Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred. *
- Computer proficiency to include word processing, databases, and spreadsheets. Familiarity with the operation of basic office equipment.
- Associates or Bachelor's Degree in Nursing. - Highly desired Clinical experience in an acute care setting; critical care, or medical/surgical. - Required: 5 Years EITHER RN or RHIA, RHIT with CCS or CCDS - Required Emergency Department nursing experience.
Description
Analyzes and responds to DRG Denials for VHS. Formulates timely written appeal responses to Medicare, Commercial, and Third Party Payors DRG payment denials based on expertise in Clinical Validation and Coding practices as outlined by AHIMA, ACDIS, AHA, Coding Clinic, the AMA, CMS, and Evidence-based Practice Literature. This position is also responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are determined both internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services
Job Types: Full-time, Contract
Pay: $95,442.00 - $124,547.00 per year
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- CDI: 1 year (Required)
- Cerner: 1 year (Required)
Work Location: Remote
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