Clinical Documentation Integrity Specialist-Coding

The CDI primary role will be auditing inpatient/ outpatient cases for DRG validation and/or documentation improvement opportunities utilizing a unique approach that combines technology, coding and clinical documentation auditing expertise. Responsibilities include working directly with the Physicians, Coders and CDI team members to streamline processes, identify training needs and ensure consistent information is shared. Provide training, as needed to ensure quality and productivity standards are met. This person should have strong coding skills, extensive knowledge of medical terminology, the human disease process, and anatomy & physiology, along with a thorough understanding of the workflow and processes utilized by the team members to successfully complete review processes. Viewed as an expert, highly sought-after resource, and a key advisor to other business partners. Ensures compliance of coding/billing and charging with regulatory and accreditation standards. Experience :- Required: Experience in IR-DRG, ICD10 and CPT Experience with Statistical analysis/ Data Analysis Experience with Microsoft Office Tools Experience in a large healthcare facility Desired: Experience in a large healthcare facility Experience in IR-DRG and ICD10 Educational Qualification: Required: Any of the following: Registered Health Information Technician (RHIT), Certified Coding Professional (CPC), Certified Professional Coder (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Inpatient Coder (CIC), or equivalent coding certification.