[Hiring] Registered Nurse - CDI Specialist @Tenet Healthcare Corporation

Role Description

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures.

Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management.

Qualifications

• CDI Specialist must display teamwork and commitment while performing daily duties.
• Must demonstrate initiative and discipline in time management and medical record review.
• Proficient knowledge of disease pathophysiology and drug utilization.
• Intermediate knowledge of MS-DRG classification and reimbursement structures.
• Critical thinking, problem solving and deductive reasoning skills.
• Effective written and verbal communication skills.
• Excellent computer skills including MS Word/Excel.
• Knowledge of coding compliance and regulatory standards.
• Excellent organizational skills for initiation and maintenance of efficient workflow.
• Regular and reliable attendance.
• Capacity to work independently in facility on-site setting.
• Capacity to work independently in a virtual office setting if required for specific assignment.
• Exhibit flexibility as needed to meet program needs.
• Understand and communicate documentation strategies.
• Recognize opportunities for documentation improvement.
• Formulate clinically compliant credible queries.
• Ability to successfully comply with robust auditing and CDI program monitoring.
• Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation.

Requirements

• Preferred: Acute Care nursing and/or Provider relevant experience.
• Zero (0) to two (2) years CDI experience.
• Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review.
• Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review.
• Graduate from a Nursing program, BSN, or graduate program; OR Graduate from Medical Doctor and/or Foreign Medical Doctor Program.

Certificates, Licenses, Registrations

• Active state Registered Nurse license; OR Graduate MD and/or FMD license.
• Preferred: CDIP or CCDS.

Physical Demands

• Ability to sit for extended periods of time.
• Ability to stand for extended periods of time.
• Must be able to efficiently use computer keyboard and mouse.
• Good visual acuity.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Other

• Must be able to travel as needed, not to exceed 10%.

Compensation and Benefits

• Pay: $72,509 - $108,763 annually. Compensation depends on location, qualifications, and experience.
• Management level positions may be eligible for sign-on and relocation bonuses.
• Medical, dental, vision, disability, life, and business travel insurance.
• Paid time off (vacation & sick leave) – min of 12 days per year, accrued at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program, Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.