Clinical Documentation Specialist - Inpatient

Remote – CDI Specialist Pride Health is hiring an Inpatient Clinical Documentation Integrity (ICDI) Specialist for a client. This is a 6-month contract role with possible extension/ possibility of conversion to Perm, with competitive pay and benefits. This Position is 100% Remote and can be worked from anywhere within the U.S, but Candidates must have access to their laptop, 2 monitors, keyboard, and mouse. Equipment will not be provided. Location – Fully Remote (Rochester, MN) Pay range - $58 - $63 per hour. Length of assignment – 6-month contract role with possible extension/ possibility of conversion to Perm. Shift – Friday - Tuesday schedule (over the weekend), 8:00 am -5:00 pm CT. Includes holidays that fall between Friday and Tuesday. Potential overtime. Job Summary Inpatient CDI reviews with productivity expectations, reconciliation with Coding, MS-DRG assignment, risk-adjustment documentation (CMS, HCC, Vizient, etc.). CCDS OR CDIP required AND a RHIT, RHIA, RN, CCS, CCS-P, or Medical Degree. Minimum of 2 years as an Inpatient CDI Specialist (the past 12 months need to be in a production role). Job Duties • The Inpatient Clinical Documentation Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient and outpatient settings to capture an accurate representation of the severity of illness and facilitate proper coding. • Validate coding reflects the medical necessity of services and facilitates appropriate coding, which provides accurate reflection and reporting of the severity of the patient's illness, along with the expected risk of mortality and complexity of care. • Documentation of discharge diagnoses and co-morbidities is a complete reflection of the patient's clinical status and care. • Utilizes advanced knowledge of disease processes (pathophysiology) and medications and has critical thinking skills to analyze current documentation to identify gaps. Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding. • Understands and applies regulatory compliance related to documentation, coding, and billing for all health insurance plans. • Facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing, and other caregivers. • Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of clinical documentation. • Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines, and accepted standards of coding practice, including appropriate clinical documentation policies. Education: • High School diploma or GED required. • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Registered Respiratory Therapist (RRT), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P), or International or Domestic Medical Degree (MD) also required. • License or Certification: Certified Documentation Improvement Practitioner (CDIP) certification or Certified Clinical Documentation Specialist (CCDS) certification required. Skills and Experience: • Two years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role, concurrent review of medical records in the field of ICDI, and experience in a production role within the last 12 months. • Risk adjustment coding experience is required. • Demonstrated skills in analytical thinking and problem-solving. • Effective verbal and written communication, including the ability to present ideas and concepts effectively to physicians, management, and other members of our healthcare team. • Self-motivated and able to work independently without close supervision. • Demonstrated ability to work well with others in a creative and challenging work environment. • Must be able to work flexible hours, which may include evenings and weekends, as required to meet business needs. Benefits Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. Equal Opportunity Employer As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics. Applicant Privacy Disclosure We collect personal information from applicants during the recruiting, pre-offer, and offer process. During the recruiting, pre-offer process, and offer process, we may collect the following categories of personal information: 1. Identifiers, such as name, address, and email address. 2. Professional and Employment-Related Information, such as resume, work history, education, and qualifications. 3. Information Voluntarily Provided by You in connection with the recruiting and pre-offer process. 4. Sensitive Personal Information, where legally permitted and necessary, such as Social Security number and date of birth. Personal information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal, regulatory, and contractual obligations. Personal information is collected and used only as necessary, and we are committed to data minimization, privacy, and providing equal employment opportunities. We are an international organization, and personal information may be accessed or processed by authorized personnel or service providers located outside the United States, subject to appropriate safeguards. We restrict use and access to personal information to authorized personnel and service providers with confidentiality and data security obligations. We maintain administrative, technical, and physical safeguards designed to protect personal information from unauthorized access, use, or disclosure. For information about our privacy practices, please review our Privacy Policy at: https://prideglobal.com/privacy-policy. If you do not consent to the collection of such personal information, please advise us immediately in writing at datasecurity@prideglobal.com