Clinical Document Improvement Specialist- 40/hrs, Day Shifts

Temple University Health System
  • Philadelphia, PA
  • Autofill and Review
12 days ago

Job Description

''407762'',''true'',''407762'',''false'',''Submission for the position: Clinical Document Improvement Specialist- 40/hrs, Day Shifts - (Job Number: 264825)'',''false'',''407762'',''false'',''true'',''Clinical Document Improvement Specialist- 40/hrs, Day Shifts '',''264825'',''!*!Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient''s severity of illness/medical complexity. Possess extensive knowledge of both clinical medicine and disease management, as well as the internal and external patient classification systems that measure patient''s severity of illness and medical complexity. Additionally, the CDI specialist will be the primary educator for the implementation of the International Classification of Disease Classification System, 10th revision. The CDI specialist shall be responsible for clarifying documentation regarding quality of care issues. Responsible for the daily review of current inpatient medical records, abstracts pertinent clinical information and translates the clinical information into a hospital based coding system utilizing ICD-10. Identifies opportunities for documentation improvement to support accurate assignment of diagnostic related groups (DRGs), severity of illness (SOI) assignment, risk of mortality (ROM) assignment, and correct reporting of quality metrics. Communicates with the clinical staff through a variety of means to educate the staff and obtain clarification of documentation.

Education

Bachelor''s Degree in a related field or an Associate''s degree in a healthcare related field

with 5 years of related experience Required or

Combination of relevant education and experience may be considered in lieu of degree Required

Experience

2 years experience in Patient care or Coding (inpatient medical setting) Required

5 years experience in inpatient acute care Preferred

Licenses

Certified Coding Specialist Preferred or

PA Practical Nurse License Preferred or

PA Registered Nurse License Preferred

Multi State Compact RN License Preferred Or'',''!*!Serves as the primary resource to the treatment team on all aspects of medical record documentation required to support the accurate classification of patient''s severity of illness/medical complexity. Possess extensive knowledge of both clinical medicine and disease management, as well as the internal and external patient classification systems that measure patient''s severity of illness and medical complexity. Additionally, the CDI specialist will be the primary educator for the implementation of the International Classification of Disease Classification System, 10th revision. The CDI specialist shall be responsible for clarifying documentation regarding quality of care issues. Responsible for the daily review of current inpatient medical records, abstracts pertinent clinical information and translates the clinical information into a hospital based coding system utilizing ICD-10. Identifies opportunities for documentation improvement to support accurate assignment of diagnostic related groups (DRGs), severity of illness (SOI) assignment, risk of mortality (ROM) assignment, and correct reporting of quality metrics. Communicates with the clinical staff through a variety of means to educate the staff and obtain clarification of documentation.

Education

Bachelor''s Degree in a related field or an Associate''s degree in a healthcare related field

with 5 years of related experience Required or

Combination of relevant education and experience may be considered in lieu of degree Required

Experience

2 years experience in Patient care or Coding (inpatient medical setting) Required

5 years experience in inpatient acute care Preferred

Licenses

Certified Coding Specialist Preferred or

PA Practical Nurse License Preferred or

PA Registered Nurse License Preferred

Multi State Compact RN License Preferred Or'',''!*!

Your Tomorrow is Here!

Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!

Equal Opportunity Employer/Veterans/Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

'',''!*!

Tomorrow is Here!

Temple Physicians Inc. brings the best together.

Our people enjoy something truly unique - settings with the resources of a world-class health system and the personal connections of a neighborhood doctor''s office. With convenient locations, leading edge care, and staff who feel more like family, careers with Temple Physicians are second to none.

Do you enjoy getting to know patients in a professional setting? Appreciate the possibilities and support offered by a large health system? Then join Temple Physicians, Inc.

'',''Pennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Operational Admin & Management'',''Operational Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''407762'',''407762'',''true'',''407762'',''false'',''Submission for the position: Clinical Document Improvement Specialist- 40/hrs, Day Shifts - (Job Number: 264825)'',''false'',''407762'',''false'',''true''

Numbers & Facts

LocationPhiladelphia, PA

Skills

  • Acute Careunmatched
  • Certified Coding Specialist (CCS)unmatched
  • Clinical Informationunmatched
  • Clinical Medicineunmatched
  • Clinical Study Publicationsunmatched
  • Diagnosis-Related Group (DRG)unmatched
  • Diseaseunmatched
  • Disease Prevention and Controlunmatched
  • Documentationunmatched
  • Health Educationunmatched
  • Healthcareunmatched
  • Hospitalunmatched
  • Hospital Systemsunmatched
  • International Classification of Diseases (ICD)unmatched
  • Medical Codingunmatched
  • Medical Officeunmatched
  • Medical Recordsunmatched
  • Medicineunmatched
  • Nursing Credentialsunmatched
  • Patient Careunmatched
  • Quality Metricsunmatched
  • Quality of Careunmatched
  • Registered Nurse (RN)unmatched
  • Riskunmatched
  • Staff Trainingunmatched
  • Support Documentationunmatched
  • Training/Teachingunmatched

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