Job description

Clinical Documentation Integrity Specialist

JOB SUMMARY:
The Clinical Documentation Integrity Specialist will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
• Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit
• Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
• Maintain strict confidentiality of all patient information in accordance with HIPAA
• Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics, hierarchical condition categories
• Work closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with Intellis’ core values
• Effectively utilize computer software based on the specific client requirements

REQUIRED QUALIFICATIONS:

• Current RN license or graduate of medical school with 5+ years of acute care experience
• CCDS or CDIP certification
• 3+ years of clinical documentation experience
• Strong analytical skills to clinically evaluate the medical record
• Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
• Ability to communicate effectively with Intellis management and clients

KEY SUCCESS ATTRIBUTES:

• Integrity, passion and ethics are requiredDemonstrates strong collaboration skills
• Has strong analytic, and problem-solving abilities and techniques
• Exhibit consistent initiative with strong drive for results and success
• Demonstrate commitment to a team environment
• Demonstrate excellent interpersonal as well as well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
• Ability to self-motivate and self-direct
• Possess strong time management and organizational skills
• Commitment and adherence to company Core Values

CORE COMPETENCIES:

• High level of integrity & ethical judgementAttention to detail
• Flexibility
• Meeting standards
• Problem solving
• Following directions

BENEFITS:

We offer an excellent salary, full benefits package including 401(k) with company match and discretionary profit sharing, group medical, dental, vision, life, & short-term disability insurance, and PTO policy.

PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:

Sitting, talking, hearing and near vision are required over 90% of the time, while walking is required frequently throughout the day. Standing is required over 10% of the time. Feeling is required 90% of the time and reaching is required about 50% of the time. Bending, twisting and climbing are required, as in far vision, but only for 10% or less of the time. Low levels of lifting (10 pounds of less) is required about 25% of the time, while medium levels (20 to 40 pounds) of lifting and carrying are required less than 5% of the time. Ability to travel to field sites may be required up to 15% of the time.

Intellis is an equal opportunity E-Verify employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Type: Full-time

Pay: $45.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Acute care
• Hospital
• Inpatient
• Outpatient

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekend availability

Education:

• Bachelor's (Required)

Experience:

• Clinical documentation improvement: 3 years (Preferred)

License/Certification:

• CCDS or CDIP Certification (Required)
• RN License (Required)

Work Location: Remote

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