CDI Principal Consultant

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Job Title: CDI Principal Consultant
Company Name: Precyse
Location: Somerset, Kentucky
Job Type: Full-Time
Profession: Medical Records/Health Information Technician
Career Level: Experienced
Education Level:
Travel: %
Job Details:
Join Precyse as we lead the movement toward HIM Innovation. Our clients will look to your expertise as you facilitate the improvement in the overall quality and completeness of medical record documentation. Precyse\'s comprehensive Clinical Documentation Improvement and education platforms can be tailored to address specific hospital documentation improvement goals. This includes customized improvement programs and educational tools to meet those goals, including integrating ICD-10 principles and demands for further documentation specificity. Our three-phased CDI approach includes Assessment and Design, Education and Implementation, Mentor and Monitor. Our CDI Specialists have this wide array of tools available to them to ensure proper documentation and the achievement our clients\' long term goals.
This position is based is based in Somerset, KY. You will work at a leading hospital, helping to drive clinical documentation improvement.
Obtain appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and collaboration with Health Information Management coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete and accurate.
Facilitate appropriate clinical documentation to ensure that level of services and acuity of accurately reflected in the medical record.
Use your extensive knowledge of documentation requirements and guidelines in accordance with Coding Clinic to improve the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation guidelines.
Process discharges by updating the Severity/Complexity of Services Worksheet to reflect any changes in status, procedures/treatments, and conferring with physician to finalize diagnosis.
Educate internal staff on clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues and conduct follow up reviews of clinical documentation to ensure points clarified with the physician have been recorded in the patient’s record.
Reviews clinical issues with the coding staff to assign a working DRG.
Participate in patient care conference/case conferences to identify needs for clinical documentation.
Generate accurate reports for the client upon the close of each phase of an engagement.
RN, CCDS or CDIP a plus
Associate’s Degree in a relevant field preferred or combination of equivalent education and experience
Three plus years’ clinically well-rounded medical or surgical acute care nursing experience preferred
Critical care nursing experience preferred
Knowledge of clinical documentation guidelines and CDI program implementation experience preferred
Knowledge of medical terminology, ICD-9-CM and CPT-4 codes
When it comes to the ICD-10 conversion, Precyse is in a class by itself.We offer a comprehensive array of coding training programs through Precyse University including interactive games and labs, discussion forums, virtual chat as well as anatomical and procedural computer animations. Many courses are approved for CEUs. In addition, the Precyse Assist Coding Hotline and Helpdesk provides Precyse coders with 24/7 expert responses to specific technical coding inquiries.
Dedication to respect, personal integrity and best practices among Precyse colleagues are recognized with a variety of awards and programs. At Precyse, our colleagues are our most important asset. Join us and help deliver our vision: a world where meaningful information helps save time, money & lives.Computer equipment and a yearly allotment for required reference materials provided by Precyse.
\"I think of Precyse University as a Coding Candy Store\" – Precyse Coding Colleague
Equal Opportunity Employer EOE M/F/D/V
Job Requirements:
About Precyse:
Precyse accelerates the capture and utilization of the patient story and advances the transformation of clinical data directly into meaningful health information. With products ranging from an integrated transcription and coding platform with advanced speech recognition, expert workflow technologies and natural language comprehension tools to HIM consulting and services, our flexible software can be delivered standalone or complemented by a professional staff of more than 1,200 experts. URL Removed
For details and to apply, please visit
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