[Hiring] RN- CDI Second Level Reviewer @Medical University of South Carolina

Role Description

A concurrent reviewer applies clinical and coding knowledge to concurrently evaluate the clinical indicators, diagnoses and treatment plan for assigned inpatients, and identifies potential gaps in physician documentation. The CDI second level reviewer (CDI SLR) is an advanced reviewer who uses his/her extensive Clinical Documentation Integrity (CDI) experience to perform a variety of advanced second level reviews. The CDI SLR will conduct post-discharge reviews prior to final billing for target case populations. These reviews have direct influence on CMI and financial outcomes as well as act as drivers of contribute expected mortality and expected LOS which quality outcomes including Vizient Q&A Ranking. The CDI SLR will also respond to concurrent review requests from CDSs, provide guidance when CDSs and Coders cannot reconcile DRG mismatches, and coordinate with Coders regarding outstanding queries or requests.

Qualifications

• Bachelor's or Associate’s degree in nursing from an accredited school of nursing
• Ten years nursing experience preferred; three years of which must include CDI experience
• Certification as CDI specialist either from ACDIS or AHIMA required currently or within 6 months of accepting the position
• Extensive knowledge of patient care and clinical measurement tools
• Ability to establish cooperative working relationships with diverse groups and individuals, medical staff, and other health care disciplines
• Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state

Requirements

• Position may require extensive walking
• May require frequent bending, stooping, or stretching
• May require lifting and carrying up to 20 lbs
• Requires eye-hand coordination and manual dexterity
• Requires the use of office equipment, such as computer terminals, telephones, and copiers
• Requires normal vision range and the absence of color blindness
• Ability to perform job functions while standing, sitting, and walking
• Ability to climb stairs
• Ability to work indoors and outdoors in temperature extremes
• Ability to work from elevated areas and in confined/cramped spaces
• Ability to perform job functions from kneeling positions
• Ability to bend, twist, and squat
• Ability to perform “pinching” operations and gross motor activities with fingers and hands
• Ability to perform fine manipulation with fingers and hands
• Ability to reach overhead and perform repetitive motions with hands/wrists/elbows and shoulders
• Ability to fully use both legs and lower extremities for balance and coordination
• Ability to lift and carry 50 lbs. unassisted
• Ability to exert up to 50 lbs. of force
• Ability to see and recognize objects nearby or at a distance
• Ability to match or discriminate between colors
• Ability to determine distance/relationship between objects; depth perception
• Good peripheral vision capabilities
• Ability to maintain hearing acuity, with correction
• Ability to deal effectively with stressful situations
• Ability to work rotating shifts and overtime as required
• Ability to work in a latex safe environment
• Ability to maintain tactile sensory functions

Benefits

• If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

Company Description

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.