Second Level Reviewer, Clinical Documentation Integrity (Remote) in Marshfield, WI
                                Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job
Company: Beaver Dam Community Hospital
Job description: Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!
Job Title: Second Level Reviewer, Clinical Documentation Integrity (Remote)
Cost Center: 101651052 HIM-Clinical Doc Integrity
Scheduled Weekly Hours: 40
Employee Type: Regular
Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America)
Job Description:
JOB SUMMARY
The Second Level Reviewer (SLR), Clinical Documentation Integrity (CDI), is a CDI professional with a broad clinical knowledge base and advanced understanding of DRG documentation requirements who works under the supervision of the Supervisor, CDI, and in collaboration with the CDI Educator/Analyst and Team Lead, CDI, as a part of the system CDI Leadership Team. This individual is responsible for comprehensive secondary clinical chart reviews at the system level including, but not limited to: Concurrent and retrospective medical record review for defined patient populations to identify opportunities for documentation improvement and integrity, Serve as CDI representative for DRG validation audits/appeals, PEPPER, HAC/PSI, Query auditing for compliance and collaborating with Health Information Management (HIM), Facility Coding, and Case Management departments to assure documentation is clinically appropriate.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required:
Bachelor’s Degree in Nursing OR
Bachelor’s Degree in Health Information Management
Preferred/Optional: None
EXPERIENCE
Minimum Required:
Five years Clinical Documentation Integrity experience
Demonstrated knowledge of Microsoft Word, Excel and PowerPoint
Demonstrated broad clinical knowledge base necessary to review a wide variety of medical records
Demonstrated positive communication skills
Preferred/Optional: None
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required:
Current state Registered Nurse license OR
Active credentials through AHIMA (RHIA)
Preferred/Optional: None
Active credential Certified through ACDIS (Clinical Documentation Specialist (CCDS) OR
Active credentials through AHIMA (CCS)
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama
Alaska
Arkansas
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Michigan
Minnesota
Mississippi
Missouri
Nebraska
North Carolina
North Dakota
Ohio
Oklahoma
South Carolina
South Dakota
Tennessee
Texas
Utah
West Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. .
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job
Expected salary:
Location: Marshfield, WI
Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job
Job date: Thu, 29 Jun 2023 04:15:50 GMT
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Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job
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