Main Line Health · 11 hours ago
Documentation Quality & Appeal Spec
United States
Part-time
Remote
Mid, Senior Level
5+ years expMain Line Health is a premier healthcare provider seeking a Documentation Quality and Appeals Specialist. In this role, you will utilize your expertise in clinical documentation and ICD-10 guidelines to perform record reviews, ensuring accuracy and compliance in documentation for patient care.
Health CareHospitalMedical
Responsibilities
Perform record review to ensure complete and accurate documentation for continuing care which reflects the appropriate Severity of Illness (SOI) and Risk of Mortality (ROM) as well as any potential Patient Safety Indicators (PSIs)
Understand legal and compliance issues and how they pertain to clinical documentation, and present information to clinical and end users
Attend educational coding sessions and maintain clinical (RN) CEUs when applicable
Qualification
Required
Minimum one year experience as a CDI Reviewer in an acute care setting
Minimum of five years of clinical experience in an acute care setting
Working knowledge of DRGs and clinical conditions impacting quality outcomes is required
Bachelor's Degree required
Strong clinical training required
Preferred
CCDS or CDIP certification preferred
CCS or concurrent enrollment in AHIMA-approved coding program within 90 days of hire
RN is preferred
Benefits
Up to $6,000 per year based upon your Full or Part Time status
Up to 240 hours of paid time off per year based on your Full or Part Time status
Employee discounts to various activities, services, and vendors
Employee parking is always free
Company
Main Line Health
For all things careers: linktr.ee/mainlinehealthcareers 🏥💼 Make sure to follow @mainlinehealthcareers on Instagram & Facebook to see life at Main Line Health through the lens of our employees.
Founded in 1893Malvern, Pennsylvania, USA
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$2MKey Investors
Redevelopment Assistance Capital Program (RACP)
2022-05-10Grant· $2M
Leadership Team
Barbara Wadsworth
Senior Vice President/Chief Nursing Officer
Karen Thomas
Senior Vice President and CIO
Recent News
The Philadelphia Inquirer
2026-02-05
2022-11-21
2022-07-13
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