Role Overview:
The CDI Coordinator serves as an experienced second-level CDI reviewer and subject matter expert, managing work queues and performing post-coding/pre-bill reviews. Responsibilities include reviewing audit recommendations, determining query validity, issuing follow-up queries, and providing guidance and education to the CDI team on complex coding, query, and procedure-coding questions.
Qualifications:
- Minimum 3 years of CDI experience, current CDI certification, and an active RN license required.
- Strong knowledge of CDI guidelines, Coding Clinics, and query practices is essential.
- Bachelor’s degree preferred, but not required.
Job Duties:
- Acts as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality Teams. Assists with on-going education and training of new staff.
- Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams
- Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality
- Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI
- Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team
- Responsible for the concurrent physician query escalation process to support query completion prior to discharge
- Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently
- Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution
- Performs other duties as assigned.
Minimum Qualifications
- Required three (3) years of acute hospital-based CDI experience. Preferable in an Academic environment. An equivalent combination of education and experience may be considered
- Required Registered Nurse (RN)
- Required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
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