CDI Specialist

Position: CDI Specialist 

The Monogram Clinical Documentation Integrity (CDI) Manager will bring to the role a strong understanding of clinical documentation, coding, and risk adjustment requirements. The Manager will lead a team of clinical documentation improvement specialist to ensure each encounter represents accurate and complete documentation of the patient’s health status. Responsibilities include managing, coordinating, and performing day-to-day operations to include personnel management, education, training, productivity, work assignments and quality reviews. Facilitates and promotes standardization across the enterprise and ensures alignment of high-quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. The Manager will also demonstrate strong leadership, operational planning, and presentational skills as well as display good judgment and critical thinking to address business problems that touch upon either the coding unit’s or clinical consultant(s) work. 

Roles and Responsibilities 

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  Maintains production goals 

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  Audits and analyzes clinical documentation to identify compliance and opportunities for improvement. 

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  Review analytics and advises providers on interpretation and/or validation of data; recommends solutions to meet objectives. 

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  Provides timely correspondence with providers regarding clinical documentation opportunities and queries. 

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  Keeps abreast of regulatory changes related to documentation, coding and communicate these changes to appropriate staff. 

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  Identifies trends through data analysis or chart review, reviewing existing policy for accuracy and developing new policies, as necessary. 

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  Applies mandated regulatory, documentation and coding guidelines to documentation 

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  Demonstrates proficiency with all areas of CPT, ICD-10 and HCPCS coding. Category II codes, auditing, and education. 

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  Prepares and presents educational training to all internal constituents related to clinical documentation issues and coordinates same with clinical staff, compliance, and coding staff. 

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  Identifies potential opportunities based on claims and medical record data to ensure the accurate reporting of the severity of the patient’s condition. 

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  Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines 

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  Performs other duties as or assigned 

Position Requirements  

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  Associate degree or higher, preferred 

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  CDIP, CCDS, CDEO credentials,  

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  RN, LPN credentials,  

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  RHIA/RHIT, CPC, CRC, CCS, CCS-P, preferred 

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  5+ years’ experience as CDI specialist,  

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  3+ years’ experience in HCC Coding, preferred 

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  Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records 

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  Experience communicating & working closely with Physicians 

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  Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment 

Benefits 

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  Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care 

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  Competitive salary and opportunity to participate in the company’s bonus program 

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  Comprehensive medical, dental, vision and life insurance 

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  Flexible paid leave and vacation policy 

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  401(k) plan with matching contributions  

About Monogram Health 

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizesutilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease. 

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.