[Hiring] RN CLINICAL DOCUMENT CASE MANAGER - CDI SPECIALIST @Independence Health System

Role Description

The Clinical Documentation Case Managers are experienced nurses with clinical skills and knowledge in the application of documentation compliance necessary to support patient severity and corresponding organizational reimbursement. There is an expectation of a high level of understanding of the DRG reimbursement process and ICD-10 CM coding guidelines. The position is responsible for the improvement in overall quality, accuracy and completeness of clinical documentation, and assures all documentation describes each patient’s clinical condition as accurately as possible and supports the level of service provided. The incumbent assists to facilitate the required level of detail in clinical documentation by educating and communicating extensively with the Medical Staff, other members of the health care team and Medical Records coding staff and demonstrates improvement in metrics such as CMI, Core Measure compliance, volume of Medical Record coding queries, etc.

Qualifications

• Minimum: Graduate of a Registered Nurse Program
• Preferred: Bachelor Degree in Nursing

Requirements

• Minimum: Three years of current medical/surgical/acute care nursing experience or two years of inpatient coding experience.
• Preferred: Documentation Compliance/Coding/DRG experience.
• Current PA RN license
• Preferred: ACDIS credentialed, Certified Coding Specialist, RHIT, or RHIA

Benefits

• Fully remote work
• Monday - Friday 7 am - 3:30 pm

Physical Requirements

• Standing - FREQUENT
• Walking - FREQUENT
• Sitting - FREQUENT
• Stooping - OCCASIONAL
• Bending - OCCASIONAL
• Twisting - OCCASIONAL
• Stairs - FREQUENT
• Kneeling - OCCASIONAL
• Squatting - OCCASIONAL
• Crouching - OCCASIONAL
• Grasping - CONSTANT
• Finger Manipulation - CONSTANT
• Seeing - CONSTANT
• Hearing - CONSTANT
• Repetitive Upper Extremity Use - CONSTANT
• Repetitive Lower Extremity Use - CONSTANT
• Pushing - CONSTANT (Up to 20#)
• Pulling - CONSTANT (Up to 20#)
• Lift (Floor to Waist) - CONSTANT (Up to 20#)
• Lift (Waist to Shoulder) - CONSTANT (Up to 20#)
• Lift (Shoulder to Overhead) - CONSTANT (Up to 20#)
• Carrying - CONSTANT (Up to 20#)

Environmental Factors

• Working alone - OCCASIONAL
• Working in cramped quarters - FREQUENT
• Constant interruptions - CONSTANT
• Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - CONSTANT