CDI RN Specialist - FT Days in Kearney, NE - $5,000 Sign-on bonus
Company: Conifer Health Solutions
Location: Kearney
Posted on: May 16, 2022
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Job Description:
As a part of the Tenet and Catholic Health Initiatives family,
Conifer Health brings 30 years of healthcare industry expertise to
clients in more than 135 local regions nationwide. We help our
clients strengthen their financial and clinical performance, serve
their communities and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to
value-based care, enhance the consumer and patient healthcare
experience and improve quality, cost and access to healthcare. Are
you ready to be part of our solutions? Welcome to the company that
gives you the resources and incentives to redefine healthcare
services, with a competitive benefits package and leadership to
take your career to the next step!
JOB SUMMARY
Responsible for reviewing medical records to facilitate and obtain
appropriate physician documentation for any clinical conditions or
procedures to support the appropriate severity of illness, expected
risk of mortality, and complexity of care of the patient, by
improving the quality of the physicians' clinical documentation.
Exhibits a sufficient knowledge of clinical documentation
requirements, MS-DRG Assignment, and clinical conditions or
procedures, Educates members of the patient care team regarding
documentation guidelines, including attending physicians, allied
health practitioners, nursing, and case management.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Record Review: Completes initial medical records reviews of patient
records within 24-48 hours of admission for a specified patient
population to: (a) evaluate documentation to assign the principal
diagnosis, pertinent secondary diagnoses, and procedures for
accurate MS-DRG assignment, risk of mortality and severity of
illness; and (b) initiate a review worksheet.
Formulate physician queries regarding missing, unclear or
conflicting health record documentation by requesting and obtaining
additional documentation within the health record, as
necessary.
Collaborates with case managers, nursing staff and other ancillary
staff regarding interaction with physicians regarding documentation
and to resolve physician queries prior to discharge.
Professional Development: Stays current with AHA Official Coding
and Reporting Guidelines, CMS and other agency directives for
ICD-9-CM and CPT coding. Attends mandatory coding seminars on
annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for
inpatient and outpatient coding. Quarterly review of AHA Coding
Clinic. Attends Quarterly Coding Updates and all coding conference
calls as well as any required CDI education.
Other duties as assigned
Qualifications:
Conifer requires its candidates, as applicable and as permitted by
law, to obtain and provide confirmation of all required
vaccinations and screenings prior to the start of employment
activity. This may include, but is not limited to, the COVID-19
vaccination, influenza vaccination, and/or any future required
vaccines and screenings.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill and/or ability
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
CDI Specialist must display teamwork and commitment while
performing daily duties
Must demonstrate initiative and discipline in time management and
medical record review
Travel may be required to meet the needs of the facilities
Advanced knowledge of Medicare Part A and familiar with Medicare
Part B
Intermediate knowledge of disease pathophysiology and drug
utilization
Intermediate knowledge of MS-DRG classification and reimbursement
structures
Critical thinking, problem solving and deductive reasoning
skills
Effective written and verbal communication skills
Knowledge of coding compliance and regulatory standards
Regular and reliable attendance and time reporting per Conifer
Telecommuting program requirements
Capacity to work independently in a virtual office setting or at
facility setting if required to travel for assignment
Understand and communicate documentation strategies
Recognize opportunities for documentation improvement
Formulate clinically, compliant credible queries
Ability to apply coding conventions, official guidelines, and
Coding Clinic advice to health record documentation
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience
required to perform the job.
Preferred: Acute Care nursing relevant experience
Zero (0) to two (2) years experience
Graduate from a Nursing program, BSN, or graduate
CERTIFICATES, LICENSES, REGISTRATIONS
Active state Registered Nurse license
PHYSICAL DEMANDS
The physical demands described here are representative of those
that must be met by an employee to successfully perform the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
Ability to sit for extended periods of time
Must be able to efficiently use computer keyboard and mouse
WORK ENVIRONMENT
The work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
OTHER
Must be able to travel nationally as needed, not to exceed 10%
JOB:
Conifer Health Solutions
PRIMARY LOCATION:
Kearney, Nebraska
JOB TYPE:
Full-Time
SHIFT TYPE:
Days
Employment practices will not be influenced or affected by an
applicant's or employee's race, color, religion, sex (including
pregnancy), national origin, age, disability, genetic information,
sexual orientation, gender identity or expression, veteran status
or any other legally protected status. Tenet will make reasonable
accommodations for qualified individuals with disabilities unless
doing so would result in an undue hardship.
Keywords: Conifer Health Solutions, Lincoln , CDI RN Specialist - FT Days in Kearney, NE - $5,000 Sign-on bonus, Healthcare , Kearney, Nebraska
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