RN Clinic Document Integrity Specialist (CDI)-Care Management at Mayo Clinic
Posted in General Business 16 days ago.
This job brought to you by eQuest
Location: Phoenix, Arizona
Why Mayo Clinic
The Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. Clinical Documentation experience strongly preferred. Also, Master's prepared and Certified CDI strongly preferred.
The Clinical Documentation Integrity (CDI) Specialist is accountable for reviewing patient medical records throughout hospitalization to capture accurate representation of the severity of illness and facilitate proper coding. The CDI Specialist validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient's illness along with expected risk of mortality and complexity of care. Documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient's clinical status and care.
Utilizes advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps.
Identifies opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding.
Understands and applies regulatory compliance related to documentation, coding and billing for all health insurance plans.
The CDI Specialist facilitates appropriate modifications to documentation through extensive interactions and collaboration with physicians, coding, case management, nursing and other care givers.
Serves as an effective change agent as an educator and resource for physicians and allied health staff to improve the quality and completeness of the clinical documentation.
Performs all duties and responsibilities in accordance with ethical and legal business procedures, compliant with federal and state statutes and regulations, official coding rules, guidelines and accepted standards of coding practice including appropriate clinical documentation policies.
The American Nurses Association: Scope and Standards of Practice provide a basis for practice of the RN.
Bachelor of Science in Nursing required.
Minimum of three years registered nursing acute care experience required, which includes depth understanding of anatomy, physiology, medical terminology, and disease processes required.
Certified Clinical Documentation Specialist preferred.
National certifications in utilization review, case management, coding, and/or quality preferred.
Knowledge of DRG, ICD-10 and CPT coding relative to physician clinical documentation within electronic medical records preferred.
Experience in utilization review, clinical documentation, precertification, coding, Medicare regulations, quality assurance, or related area preferred.
Demonstrated skills in analytical thinking, problem solving.
Effective verbal and written communication including ability to present ideas and concepts effectively to physicians, management and other members of our healthcare team.
Self-motivated and able to work independently without close supervision.
Demonstrated ability to work well with others in a creative and challenging work environment.
Must be able to work flexible hours which may include evenings and weekends as required to meet business needs.
License or certification
Current Registered Nursing license for the state location.
Must obtain Certified Clinical Documentation Specialist certification within 3 years of hire and maintained.
Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $2,860.00, based on a full-time position.
Hours / Pay period
Work Monday - Friday 8 hour shifts. Hours of shift will accommodate medical practice documentation needs.
May need to work occasional weekends to meet organization needs, but not regularly scheduled.
Mayo Clinic's campuses in Arizona are located in Phoenix and Scottsdale, in the beautiful Sonoran Desert. The region is known as the Valley of the Sun, a metropolitan area with more than 4 million residents in 25 cities and towns.
With Phoenix being the sixth largest city in the nation, this sunny "desert metropolis" offers the amenities of a big city in the midst of a strikingly beautiful, rugged, southwest landscape.
Scottsdale frequently earns praise as a highly desirable place to live. The city's more than 200,000 residents enjoy a vibrant mix of culinary hot spots, arts and entertainment, professional and collegiate sports teams, and community resources. The region's desert climate promotes an outdoor lifestyle with a full complement of sports and recreation.
Nursing, Other Patient Care
Job posting number
Equal opportunity employer
Mayo Clinic is an equal opportunity educator and employer (including veterans and persons with disabilities).