Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation.
Perform CDI audits.
Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines.
Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities.
Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities.
Provide feedback and education to CDI specialists, coders, and clinical staff.
Requirements
CCDS or CDIP certification required.
RN preferred but not required.
A minimum of 3 years’ CDI experience.
The ability to communicate with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement is a must.
Benefits
UASI provides employees with the tools needed for professional growth and development.