You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
- Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI trends
- Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results
- Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
- Provides expert level leadership for overall improvement in clinical documentation by providing proficient review and assessment, and effectively articulating recommendations for improvement including the rationale for the recommendations
- Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
- Provides complete follow through on all requests for clarification or recommendations for improvement
- Ensures effective utilization of Technology to document all clarification activity
- Collaborates closely with interfacing departments such as Care Coordination and Quality
- Utilizes only the Optum/client approved clarification forms
- Proactively develops a reciprocal relationship with the HIM Coding Professionals
- Engages and consults with Physician Advisor/CMO when needed, per the hospital defined escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation integrity process
Required Qualifications
- Associates degree
- 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI experience
- Advanced proficiency in clinical medicine, pathophysiology, and pharmacology
- Advanced proficiency communicating & working closely with Physicians
- Intermediate proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
Preferred Qualifications
- 3+ years of CDI experience for an acute care hospital
- CCDS, CDIP or CCS certification
- BSN degree if a RN
- CAC experience (Computer Assistant Coding)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.