Second Level Reviewer, Clinical Documentation Integrity (Remote) in Marshfield, WI

Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job Company: Beaver Dam Community Hospital Job description: Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Second Level Reviewer, Clinical Documentation Integrity (Remote) Cost Center: 101651052 HIM-Clinical Doc Integrity Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: JOB SUMMARY The Second Level Reviewer (SLR), Clinical Documentation Integrity (CDI), is a CDI professional with a broad clinical knowledge base and advanced understanding of DRG documentation requirements who works under the supervision of the Supervisor, CDI, and in collaboration with the CDI Educator/Analyst and Team Lead, CDI, as a part of the system CDI Leadership Team. This individual is responsible for comprehensive secondary clinical chart reviews at the system level including, but not limited to: Concurrent and retrospective medical record review for defined patient populations to identify opportunities for documentation improvement and integrity, Serve as CDI representative for DRG validation audits/appeals, PEPPER, HAC/PSI, Query auditing for compliance and collaborating with Health Information Management (HIM), Facility Coding, and Case Management departments to assure documentation is clinically appropriate. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Bachelor’s Degree in Nursing OR Bachelor’s Degree in Health Information Management Preferred/Optional: None EXPERIENCE Minimum Required: Five years Clinical Documentation Integrity experience Demonstrated knowledge of Microsoft Word, Excel and PowerPoint Demonstrated broad clinical knowledge base necessary to review a wide variety of medical records Demonstrated positive communication skills Preferred/Optional: None CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Current state Registered Nurse license OR Active credentials through AHIMA (RHIA) Preferred/Optional: None Active credential Certified through ACDIS (Clinical Documentation Specialist (CCDS) OR Active credentials through AHIMA (CCS) Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:​ Alabama Alaska Arkansas Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Michigan Minnesota Mississippi Missouri Nebraska North Carolina North Dakota Ohio Oklahoma South Carolina South Dakota Tennessee Texas Utah West Virginia Wisconsin Wyoming Marshfield Clinic Health System will not employ individuals living in states not listed above. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. . Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job Expected salary: Location: Marshfield, WI Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job Job date: Thu, 29 Jun 2023 04:15:50 GMT Apply for the job now! Second Level Reviewer, Clinical Documentation Integrity (Remote) - Beaver Dam Community Hospital - Marshfield, WI - work from home job