Inpatient Clinical Documentation Integrity Sp

TITLE: Inpatient Clinical Documentation Integrity Specialist

LOCATION: Remote

STATUS: Full-Time

SCHEDULE: Monday-Friday

PAY RANGE: $50-$60/Hour DOE

This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position.

FLSA STATUS: Non-Exempt (Overtime paid at 1.5X regular rate of pay)

SUMMARY: The Inpatient Clinical Documentation Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient and/or outpatient setting to capture accurate representation of the severity of illness and facilitate proper coding.

RESPONSIBILITIES:

• Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.
• Validates coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care.
• Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps.
• Other duties and responsibilities as assigned.
• Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.
• Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care.
• Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.
• Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans.
• Facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers.

EDUCATION & EXPERIENCE:

• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Registered Respiratory Therapist, Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P)
• Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification
• Two years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role, concurrent review of medical records in the field of ICDI and experience in a production role within the last 12 months.
• High School Diploma OR GED Required

Benefits: Medical, Dental, Vision, HSA, Employee Assistance Program (EAP), STD, LTD, Life and 401(K)

BAHAMA Consulting is an equal opportunity employer. If you need an accommodation for any part of the application and hiring process or have any questions, please contact HR.