e4health ยท 17 hours ago
CDI Auditor
United States
Full-time
Remote
Mid, Senior Level
5+ years exp
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Responsibilities
Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
Identify missed documentation opportunities within medical records as previously reviewed or not reviewed by Customer CDI team
Evaluate queries from a compliance perspective to determine if there are any areas of risk, using ACDIS/AHIMA Practice Brief as the standard
Assess adherence to Customer specific CDI processes/procedures
Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
Demonstrate understanding of the business of healthcare: MS and APR DRG payer issues, audit risks, documentation opportunities, POA, quality metrics, hierarchical condition categories, and various risk adjustment methodologies
Work closely with the Customer, co-workers, and management to meet the specific needs of each assignment in alignment with core values
Effectively utilize computer software based on the specific Customer requirements
Maintain strict confidentiality of all patient information in accordance with HIPAA
Qualification
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Required
Candidate must possess current ACDIS CCDS or AHIMA CDIP certification
5+ years of clinical documentation experience required with an acute care facility required
2+ years of CDI auditing experience
Current RN license or graduate of medical school with 5+ years of acute care experience preferred; some Customers may require RN
Minimum 2 years of remote experience required
Thorough understanding of both MS and APR DRG methodologies and Compliant Query Practices as outlined by ACDIS/AHIMA
Strong analytical skills to clinically evaluate the medical record
Ability to independently use multiple computer applications for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
Ability to communicate effectively with e4health management and Customers
Proficiency with ICD-10-CM and ICD-10-PCS
Preferred
Coding credentials such as CCS is preferred
BSN, in addition to RN license is preferred
Experience with multiple health facilities, multiple electronic medical records, and multiple encoders is strongly preferred
Familiarity with various risk models is strongly preferred
Understanding of HAC/PSI models, including exclusionary opportunity is preferred
Benefits
401(k) with company match and discretionary profit sharing
Group medical
Dental
Vision
Life
Short-term disability insurance
PTO policy
Company
e4health
e4health is a healthcare mid-revenue cycle and information technology (IT) solutions provider.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Matthew Zubiller
CEO & Board Member
Don Neville
Chief Financial Officer
Company data provided by crunchbase
