Rn - Health Information Management - Clinical Documentation Integrity Specialist

Position Summary
Potential to Work From Home
Performs DRG assignment on select patients, as assigned to insure appropriate severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG.
Qualifications
EDUCATIONAL REQUIREMENTS
Associate's Degree in Related field
Certification & Licensure Requirements
Registered Professional Nurse (RN) License upon hire or Registered Health Information Admin (AHIMA) upon hire.
Experience Requirements
Two (2) years Clinical experience
Skills And Knowledge
Requires excellent organizational and communication skills. Demonstrated ability to work as an active member. Up to date clinical skills preferred; need to have current working knowledge of pathology, managed care, healthcare quality, and reimbursement.
Essential Functions

• Refers problematic cases to inpatient coding coordinator or supervisor/CDI and audit
• Conducts the initial concurrent review process for all selected admissions
• Clarifies documentation in the medical record as appropriate through communication with the physicians, nurses, and ancillary staff
• Documents findings on the electronic DRG worksheet and identifies other key pathway or quality indicators as appropriate
• Coordinates with the physicians, nurses, ancillary hospital staff, and Health Information Services Department's coding staff to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.