Hiring Now! CDI Quality Review Specialist

  • Job Summary
    • Provides ongoing education to Clinical Documentation Improvement staff system-wide. Provides education and training to newly hired Clinical Documentation Specialists. Participates in the department quality audit processes by performing assigned audits, communication of findings, and data entry for reporting. Leads system-wide clinical documentation operating plan and collaborating closely with the Director of Coding, Quality, and Education. Collaborates with Medical Staff Leadership in the ongoing education efforts involving clinical documentation improvement. Collaborates with system-wide VPMAs and Physician Advisors, Corporate Quality, and Coding Operations and Quality Assurance.
  • Minimum Qualifications
    • Education/Training
      • Bachelor’s Degree in Nursing (Master’s degree a plus) or Foreign Medical Graduate with relevant experience; completed coding courses in ICD-10-CM/PCS; certification in clinical documentation improvement from AHIMA or ACIDIS preferred.
    • Experience
      • 5 years experience in the acute care setting; experience in working with physicians and clinical professionals; experience in documentation review including coding and DRG analysis; experience in the Clinical Documentation Specialist role required; knowledge of Maryland rate setting and reimbursement under the CMS waiver a plus; knowledge of inpatient acute care standards for coding, The Joint Commission, HIPAA, and other regulatory requirements.
    • License/Certification/Registration
      • Clinical documentation improvement certification from ACDIS or AHIMA; completion of ICD-10-CM/PCS approved Trainer credential preferred.
    • Knowledge, Skills & Abilities
      • Basic computer skills including working knowledge of word processing and spreadsheet software applications. Excellent interpersonal skills, including verbal and written communications; Good public speaking and presentation skills; attention to detail; follow up on outstanding issues; ability to organize, priorities and meet deadlines. Experience with Electronic Medical Records Systems and prior work with 3m Clintrac, 3m 360, and Cerner a plus.
  • Primary Duties and Responsibilities
    • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulators.
    • Deploys system wide CDI quality audit process, to include completion of audits, associated data entry, and communication of audit results to CDI staff.
    • Develop and deploy training plan for new and established clinical documentation improvement specialists.
    • Assists the CDI Operations Director with annual staff competencies and evaluations and performance improvement plans.
    • Collaborates with Physician leadership in the provision of ongoing education to physicians, and physician extenders regarding regulatory requirements and best practices.
    • Leads CDI operating plan workgroups (i.e. MHAC/HAC, Cardiology. etc) at Corporate and each of the hospitals in collaboration with Physician Advisors, quality leads, and Director of Coding Quality Assurance and Education.
    • Coordinates development of documentation policies (i.e. malnutrition, sepsis, etc) and collaborates with coding and physicians to deploy.
    • Participates in meetings and on committees and represents the department and hospital in community outreach efforts.Participatesin multi-disciplinary quality and service improvement teams.
    • Performs other duties as assigned.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.
Salary Range
$74,000.00 - 128,000.00
per Year
Salary range estimated by
Baltimore, MD 21236, US
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