Clinical Doc Spec Remote

As a Clinical Documentation Specialist Remote (CDS R), you will conduct reviews of electronic medical records on a defined inpatient population while patients are being treated on nursing units. To help achieve our mission, you will interact with providers via the query process, phone, paging systems, email or secure texting applications. Interacting with other CDS R, CDS 1, CDS 2s, CDI Educator/Auditor, CDI Manager, CQCs and Coding Professionals to ensure complete and compliant provider documentation to support MS-DRG, APR-DRG, severity of Illness (SOI), Risk of Mortality (ROM) is of vital importance. Your ability to follow up with providers regarding pending queries related to compliant documentation for DRG revenue assurance, compliance, quality outcomes and ICD10 is required.This is a 100% remote position.
Job Responsibilities

Additional Requirements

Education:

Bachelor's degree or higher in Nursing or Medicine (e.g. BSN, MD, MBBS, NP, PA).
Alternatively, a combination of Registered Nurse (RN) or Registered Health Information Technician (RHIT) with certification in coding or clinical documentation improvement and 1 year of work experience with Inpatient CDI, Coding or DRG Assurance: RN/RHIT/RHIA with CCS/CCDS/CDIP and 1 year of experience.

Experience:

3 years of health care related work experience to include
at least 3 months of recent (within 12 months) Inpatient CDI, DRG assurance or Coding experience.

Training:

Receives at least 90 percent accuracy rate on DRG assurance test, ICD-10 CDI test or equivalent., CDI, DRG Assurance, or Inpatient Coding training.

Certifications:

CCS or CCDS or CDIP required for RN/RHIT candidates.

Skills:
Possesses strong clinical skills and knowledge.
Proficient with use of various computer applications.
Ability to quickly learn new systems.
Excellent verbal and written communication skills.
Strong interpersonal skills particularly in working with physicians, nurses and coding auditors.
Ability to work as part of a team.

About Inova
Inova’s five hospitals are consistently recognized by the Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals and Leapfrog Hospital Safety Grades for excellence in healthcare.
Inova is home to Northern Virginia’s only Level 1 Trauma Center and Level 4 Neonatal Intensive Care Unit. Its hospitals have a total of 1,936 licensed beds. More information and statistics about Inova can be found at www.inova.org.
Inova is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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