Virtual CDI Liaison in Nashville, TN at Parallon

Date Posted: 7/10/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Nashville, TN
  • Job Type:
    Other
  • Experience:
    At least 1 year(s)
  • Date Posted:
    7/10/2018

Job Description

The Clinical Documentation Improvement (CDI) Liaison is responsible for the interface between hospital/Division based Clinical Documentation Improvement Staff and the HSC. The liaison works with all hospitals to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. The Clinical Documentation Improvement Liaison plans, assigns and coordinates the communication and validation of correct coding; actively monitors hospital CDI requests and responds to questions submitted. Collaborates with Hospital and Division CDI as applicable. 

Duties (included but not limited to):
• Proactively manages hospital CDI and HSC MS-DRG mismatch request reviews
• Tracking, trending, and comparison of CDI reconciliation data for accuracy
• Facilitates Coder/CDI worksheet MS-DRG mismatch at the time of final coding and escalates per established protocol 
• Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log) 
• Organizes and/or participates with CDI in Division and hospital collaboration meetings 
• Works with the Coding Mentor, Coding Lead and/or Coding Manager to provide feedback to the CIS or coding contract vendor on CDI-HSC DRG mismatches 
• Utilizes eRequest and other communication mechanisms to provide details in response to CDI and Quality review requests 
• Performs additional medical record reviews in response to correspondence from third party payers and quality integrity organizations (RAC, post payments, etc.) 
• Coordinates training and education for Coding Integrity Specialists (CISs) and hospital-based CDI staff when trends are identified • 

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES• Coding Technical Skills - regulatory coding (ICD-10-CM, ICD-10-PCS, ICD-9-CM, MS-DRGs, APR DRGs, POA Assignment) and associated reimbursement knowledge.
• Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services. 
• Critical thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action. 
• Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships. 
• Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values. 
• Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures. 
• Initiative – independently takes prompt proactive steps towards problem resolution. 
• Planning and Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task. 
• Communication - communicates clearly, proactively and concisely with all key stakeholders. 
• Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. 
• Work Independently – is self-supporting; not needing to rely on others to complete a job. 
• Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
 
EDUCATION
• High school graduate or GED required.
• Undergraduate (Associate) degree in HIM/HIT preferred. Bachelor’s degree in HIM/HIT strongly preferred.

EXPERIENCE 
• Minimum 3 years' health care management/leadership experience (e.g., constructive conflict, communication skills) preferred 
• Minimum 5 years' recent inpatient hospital coding experience required.
• Inpatient coding auditing experience preferred.
• Minimum of 1 year CDI experience strongly preferred. 

CERTIFICATE/LICENSE 
RHIA, RHIT and/or CCS required.