When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for consideration.
The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist RN works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.
Completes initial reviews of patient records within 24-48 hours of admission
Evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of morality, and severity of illness.
Track review details in 3M software.
Conducts follow-up reviews of patients every 2 days to support and assign a working DRG assignment. Queries physicians regarding missing, unclear, or conflicting medical record documentation by requesting and obtaining additional documentation within the medical record when needed. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the medical record. Collaborates with the CDI Manager & Physician Advisor and other ancillary staff regarding interaction with physicians on documentation and to resolve physician queries prior to patient discharge. Educates members of the patient care team regarding documentation opportunities and best practices to ensure accurate documentation in the medical record. Applies diplomacy and professionalism when interacting with physicians and clinicians; especially when addressing missing or conflicting medical record information. Works in partnership with an interdisciplinary team to foster collaboration, learning, and accurate and complete medical record documentation. Exhibits working knowledge of inpatient coding guidelines. Adheres to CDI convention and department policies and procedures. Investigates, evaluates, and identifies opportunities for improvement and recognizes their relative significance in the overall system. Provides orientation for new clinical staff regarding documentation requirements as required. Keeps current with CDI concepts and practices through conferences, reference material, and review of current literature. Maintains confidentiality of all customer/hospital information. Demonstrates flexibility in the face of a changing work environment, adjusting work schedule accordingly.
Education: Associate's degree required. Bachelor's degree preferred.
...and a theme-based curriculum focused on fun and growth. Candidates must be at least 18 years old and able to supervise children in outdoor settings. The position requires resilience and collaboration within a camp team. This is an opportunity to inspire and create unforgettable...
Job Description Job Description Low voltage laborer/ tech Install CAT 6 cable and fiber Install cable tray and hangers Willing to train Communication cabling and terminations is a plus Insurance and paid vacation Matched retirement
...and Qualifications Required Bilingual proficiency in Native Japanese and English Japanese - Proficient English - Read, Write,... ...customers require a background check for certain positions, the Company faces a significant risk to its business operations and business...