[Hiring] Documentation Quality and Appeals Specialist @Main Line Health

Role Description

Could you be our next Documentation Quality and Appeals Specialist?

Are you an experienced CDI reviewer looking to join a premier healthcare provider? If so, come be a part of Main Line Health as a Documentation Quality and Appeals Specialist where you will use your extensive knowledge of clinical documentation requirements and ICD-10 guidelines to perform record review to ensure complete and accurate documentation for continuing care which reflects the appropriate Severity of Illness (SOI) and Risk of Mortality (ROM) as well as any potential Patient Safety Indicators (PSIs).

• Use your critical skills to understand legal and compliance issues and how they pertain to clinical documentation
• Present information to clinical and end users

Qualifications

• Minimum one year experience as a CDI Reviewer in an acute care setting
• Minimum of five years of clinical experience in an acute care setting
• Working knowledge of DRGs and clinical conditions impacting quality outcomes is required
• Bachelor’s Degree required
• Strong clinical training required

Requirements

• CCDS or CDIP certification preferred
• CCS or concurrent enrollment in AHIMA-approved coding program within 90 days of hire
• RN is preferred

Benefits

• Eligible for up to 240 hours of paid time off per year based on your Full or Part Time status
• Employee discounts to various activities, services, and vendors
• Free employee parking
• Tuition Reimbursement up to $6,000 per year based upon your Full or Part Time status