Strategis Consulting ยท 3 weeks ago
Coding and CDI Analyst (On-Site) Full Time
South Springfield,GA,US
Full-time
Onsite
Entry, Mid Level
1+ years expStrategis Consulting is committed to providing exceptional care and services, and they are seeking a Coding and CDI Analyst to review medical records documentation for reimbursement and quality improvement. The role involves ensuring adherence to standards, validating clinical documentation, and providing training for clinical personnel.
Information Technology & Services
Responsibilities
Under the general direction of the Revenue Integrity Manager, the incumbent is responsible to review medical records documentation for reimbursement, severity of illness and risk of mortality, identifies opportunities for improving the quality of medical record documentation and confers with the caregiver regarding additional documentation required
Ensures adherence to Joint Commission standards, federal, state, and all related local policies, procedures
Validates that the clinical documentation supports the charges
Provide a quarterly report of charge validation and charge validation concerns
Coordinates and administers training for clinical personnel that promotes standards and best practices
Analyzes for errors, updates, and distributes charge validation reports
Creates the physician and nurse deficiency list and sends it to the appropriate person
Assist the physician or nurse in completing the deficiencies
Maintain the information flow according to established guidelines
Has the ability to perform all aspects of processing all records charge validation according to department policies and procedures
Ensures departmental adherence to proper infection control, OSHA and safety standards, Maintains work area in a neat, clean and organized manner
Responsible for maintaining organizational facilities in accordance with TJC, federal and state, organizational and departmental policies and procedures
Performs other duties as assigned, needed, required or requested
Applying knowledge of medical terminology and procedures to evaluate clinical documents
Collecting medical information from healthcare providers and updating medical records
Verifying the accuracy of patient medical information and obtaining missing information
Monitoring diagnoses, treatments, and follow-up entries in medical records
Interpreting and preparing clinical reports for healthcare professionals and public health officials
Meeting with healthcare stakeholders to explain findings and facilitate actions
Ensuring that the content and storage of medical documents comply with federal laws
Training medical and administrative staff in standard medical recordkeeping procedures
Keeping abreast of advancements in the field of clinical documentation and changes in regulations
Qualification
Required
Education level equivalent to completion of Associate degree in registered Nursing
In-depth knowledge of ICD-10-CM/PCS, CPT, and official coding guidelines
Understanding of clinical terminology, disease processes, and documentation standards
Experience working with EHR systems and encoder software
Strong analytical, communication, and collaboration skills
Understanding of clinical documentation standards and medical terminology
Valid Georgia Nursing License
Certification, Registration: Registered Health Information Technician, Registered Health Information Administrator, Certified Professional Coder, or Certified Coding Specialist required
Minimum 1-2 years of medical coding experience
CDI experience or Utilization management experience required
Proficient with Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
Preferred
BSN preferred
Preferred Experience: working with CDI programs or provider education initiatives
knowledge of quality measures
DRG methodology
reimbursement models
experience providing provider education or conducting documentation reviews
Benefits
Retirement plans 403 (b) and 457
Health insurance
Dental Insurance
Vision insurance
Prescription Drug Plan
Hospital Discount
Flexible spending account
Paid time off
Extended Days off (Sick time)
Employee assistance program
Strive365 Wellness Program
Basic Life insurance (Employer Paid)
Voluntary Life insurance/Accident/Critical Illness
Disability (LTD and STD)
Tuition reimbursement
Legal and ID Shield
Discounted Gym membership
Cafeteria Payroll Deduction
Employee Perks Program
Student Loan Relief and Assistance
Employee Rewards and Recognition Program
Bereavement Leave
Company
Strategis Consulting
At Strategis we help Australian companies innovate their way to success, in strategic and tactical planning & coaching, and in our speciality areas of research, development and technology.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase