Job Description

Job Description

Integrated Healthcare Services is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Rochester, Minnesota.

• Specialty: Clinical Document Improvement Specialist
• Discipline: RN
• Duration: 52 weeks
• 36 hours per week
• Shift: 12 hours
• Employment Type: Travel

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Every resume must use the resume format in the attached document and answer the prescreening questions included at the end of the document.
The goal will be slightly different, but the job functions the same i.e. Normal CDI work with a focus of following up other ICDI reviews, reconciliation being a priority over new cases and catching weekend stays from all service lines.
Risk adjustment coding experience strongly preferred.
This is Monday – Friday, production CDI work
CCDS OR CDIP required  AND  a RHIT, RHIA, RN, CCS, CCS-P, or Medical Degree.
Candidates must have access to their own laptop, 2 monitors, keyboard, and mouse. Equipment will not be provided.
Manager requests NO RTO during the first 2-3 months as there is heavy training involved. Exceptions may be granted.

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. 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. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care. Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding. 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. 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. 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. This Position is 100% Remote can work from anywhere within the U.S.

RightSourcing IHS Job ID #3-36551069. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

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