CDI Specialist, Associate

This is a fully remote position, open to applicants in Texas.

📋 Description

• Review documentation submitted by medical personnel and patient caregivers on a daily basis.

• Verify that clinical information is precise and comprehensive for illness severity, mortality risk, DRG, and hospital outcomes reporting.

• Initiate compliant verbal and written inquiries to clarify the documentation in medical records.

• Perform follow-up assessments to ensure the completeness and consistency of care levels.

• Monitor and escalate HAC and HARM quality metrics.

• Support clinical validation reviews for denials and appeals.

• Collaborate with the CDI supervisor on strategies for provider education.

• Aid in mentoring or training new Clinical Documentation Integrity Specialists.

• Analyze data and report quality concerns to the CDI Supervisor.

• Assist in achieving organizational unbilled goals for Accounts Receivable with uncoded accounts.

• Uphold strict confidentiality standards.

• Execute other assigned responsibilities.

⛳️ Requirements

• Familiarity with Official Guidelines for coding and reporting.

• Understanding of medical terminology, human anatomy, physiology, and pharmacology.

• Knowledge of disease pathology.

• Proficiency in ICD-10-CM/PCS.

• Awareness of DRG payor regulations, documentation opportunities, and clinical documentation prerequisites.

• Capability to interpret data for enhancing documentation practices.

• Familiarity with standard business equipment in both remote and office settings.

• Proficient in using office software, coding software, billing software, and abstracting systems.

• Knowledge of coding resources with demonstrated proficiency in utilizing them.

• Ability to resolve basic technical issues.

• Effective communication skills with providers and patient caregivers.

• Required qualifications: RN, RHIT, RHIA, CDIP, or CCDS.

• High School Diploma or GED.

• Required clinical experience.

• Some experience in medical records abstraction and coding in an acute care environment is mandatory.

• Preference for candidates with EPIC and 3M encoder software experience.

🏝️ Benefits

• UT SELECT Medical insurance provided at no cost to employees.

• Reduced copays and coinsurance when receiving services from UT Health Physicians.

• $50,000 in group term life insurance coverage.

• $50,000 in basic accidental death and dismemberment insurance.

• Options available for purchasing additional employee and dependent coverage at group rates.

• Three dental insurance plan options available through Delta Dental.

• Vision Care benefits offered with standard or enhanced vision options.

• Disability Insurance included.

• Flexible spending accounts available for dependent care or healthcare expenses.

• Participation in the Teacher Retirement System (TRS) or Optional Retirement Plan (ORP).

• Employer matching contributions under TRS.

• Voluntary retirement programs with five retirement plan providers available.

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days), depending on years of service.

• Extended Illness Bank: 8 hours accrued each month.

• Paid Family Leave: up to 240 hours (6 weeks) after 6 months of continuous employment.

• 12 paid holidays each year.

• Discounts on services, tickets, and gym memberships.