Remote - Clinical Documentation Specialist (CDI) Team lead

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Job Overview

The Remote - Clinical Documentation Specialist (CDI) Team Lead position at Guidehouse offers an opportunity for professionals adept in clinical documentation to lead a team responsible for ensuring the integrity of medical records. This role will focus on the supervision and daily operations of the Clinical Documentation Integrity (CDI) team, while maintaining both onsite and remote responsibilities.

Position Responsibilities

The CDI Lead is tasked with various responsibilities that can be classified into two broad categories: lead duties and CDI duties.

Lead Duties (60% of time)

These duties account for approximately 24 hours per week and include:

  • Overseeing daily review assignments for each CDI Specialist to ensure an even distribution of the review workload.
  • Covering assignments for in-office staff that are out of office, which may involve ongoing queries and review processes.
  • Monitoring CDI productivity and monthly project utilization to assess team efficiency.
  • Acting as a subject matter expert in clinical data reporting to enhance the quality of clinical documentation, applying analytical knowledge, and conducting in-depth reviews.
  • Reviewing internal key indicator metrics and developing corrective action plans if metrics are not achieved.
  • Performing analytical assessments of data to report results and improve operations.
  • Conducting monthly quality reviews and presenting findings to management.
  • Engaging in the recruitment process for new CDI specialists by participating in interviews and onboarding.
  • Effectively communicating about program updates and challenges to management.

CDI Duties (40% of time)

These responsibilities take up around 16 hours weekly and focus on:

  • Facilitating proper clinical documentation to ensure correct coding for diagnoses and procedures.
  • Collaborating with Health Information Management (HIM) staff to promote accurate clinical documentation.
  • Communicating with various stakeholders, including physicians and case managers, to enhance medical record documentation.
  • Assigning working Diagnosis-Related Groups (DRGs) in accordance with coding guidelines during reviews.
  • Engaging with providers regularly to clarify documentation and improve accuracy.
  • Formulating compliant documentation clarifications to enhance clinical records.
  • Utilizing specific software systems to track and report outcomes while ensuring the integrity of data collection.

Required Skills and Qualifications

To be eligible for this role, candidates must possess the following qualifications:

  • A Bachelor's degree along with at least 5 years of relevant experience in clinical documentation or coding.
  • Candidates should hold one of the following credentials: RHIA, RHIT, RN, MD, or CCS.
  • A strong foundation in inpatient coding (5 years experience), complemented by a minimum of 3 years of CDI experience.
  • Knowledge of official coding guidelines and clinical terminology, and strong analytical skills.
  • Proficient computer skills, especially in EHR systems and Microsoft Office Suite, are essential.
  • Candidates should exhibit strong communication capabilities and the ability to present information effectively.
  • While not mandatory, additional credentials like CCDS or CDIP and strong clinical understanding are preferred.

Salary and Compensation

The salary range for this position is between $80,000.00 and $133,000.00 annually. This range reflects the variable factors such as skills, experience, training, and qualifications, ensuring that compensation decisions are individualized to current business needs. The position may also be eligible for a discretionary incentive bonus.



Benefits Package

Guidehouse prioritizes the well-being of its employees by offering a comprehensive benefits package. Some key benefits include:

  • Medical, Rx, Dental, and Vision Insurance
  • Paid sick leave and holidays
  • Parental leave
  • A 401(k) retirement plan
  • Life insurance options
  • Health Savings Account and Flexible Spending Accounts
  • Tuition reimbursement and personal development opportunities
  • Access to skills development and certifications
  • Corporate-sponsored events and community outreach programs
  • Emergency back-up childcare services

Work Environment

This position is entirely remote but may require some level of flexibility and responsiveness to meet team and organizational needs. The responsible professional ensures high standards are met while fostering a collaborative environment for the CDI team.

Company Overview

Guidehouse is an Equal Employment Opportunity/Affirmative Action employer committed to fostering an inclusive workplace. This position is open to candidates without discrimination based on race, gender identity or expression, age, or any other protected status. They also have a commitment to accommodating applicants with disabilities throughout the recruitment and hiring process.

In conclusion, the Remote - Clinical Documentation Specialist (CDI) Team Lead position at Guidehouse offers a compelling opportunity for professionals in the healthcare documentation field to lead and innovate while enjoying a flexible remote work arrangement and a supportive benefits package.



This job offer was originally published on himalayas.app

Guidehouse

United States

Translation

Full-time

February 2, 2025

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