Tact Staff is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Pomona, California.
Job Description & RequirementsRole: CDI Specialist ***Locals preferred as some orientation will be onsite for the first couple of weeks; candidate will need their own computer equipment (laptop, monitors, camera/headsets) and the facility will install necessary programs for the role # of shifts per week: 5 shifts per week Shift Start and End Time: 7:30am to 4pm (PST remote) flexible (earliest start 6am PST) Weekends/On call/Holidays: Flexible Anticipated length of assignment: 13 weeks with possible extension Dress Code: Professional Required Minimum Qualifications: Licensure: RN, LVN, IMG/FMG Education: Associate, bachelors, CDI Certification: CCDS, CCS, CDIP, preferred but not necessary if candidate has CDI experience. Experience: -Power Chart (Cerner) -3M 360 -Midas -Proficient in APR and MS DRG methodology -Experience in denials related to DRG downgrades -Able to review denials, create and submit appeal letters -Clinical Documentation/Coding knowledge in Trauma, NICU, Obstetric Service lines strongly preferred -HCC Knowledge and other risk adjustment methodologies (i.e. Vizient, Elixhauser) -PSI/HAC Number of years of experience: 3-5 years in CDI All other experience does not count.. UM, clinical, nursing or coding.. has to be specific to Clinical Documentation. Preferred skills: N/A Summary of Major Function: The Clinical Documentation and Coding Integrity Quality Auditor performs clinical documentation validation reviews. Performs quantitative and qualitative reviews and analysis of the clinical health records and physician queries both concurrently and retrospectively to ensure documentation is accurate, consistent and complete. Quality Auditor identifies educational opportunities, including discrepancies in clinical indicators and diagnostic statements which impact DRG assignment, severity of illness, risk of mortality and resource utilization. Quality Auditor is also involved in the clinical denial/appeal process for DRG challenges and clinical validations of both external and internal claims. The Quality Auditor utilizes analysis of data, dashboards, and audits to assist in identifying gaps, root causes and solutions for clinical documentation specialists and physician leadership. The Quality Auditor acts as a subject matter expert and resource for the Clinical Documentation Specialists and assumes the role of CDS as demands for services requires. May perform other duties as assigned.
Tact Medical Staffing Job ID #474523. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - Utilization Review / CDI
About Tact StaffOur nurses choose Tact assignments because it provides the opportunity to take on new challenges in their careers while they travel across the United States and gain enriching experiences on a professional and personal level.
Our dedicated team of staffing consultants will work with you and be your advocate as you choose to embark on new assignments. Our team is committed to providing our nurses with the most rewarding healthcare assignments and choices at primer healthcare institutions nationwide. Let us handle the details; you choose the job and location that are right for you.
Be Adventurous, Make a Difference , Travel with Tact.
Be Adventurous - Becoming a travel nurse is not only a professional adventure, but a personal adventure as well. It is an opportunity to challenge yourelf, to explore a new place, and try amazing food...
Make a Difference - Nurses make such a huge difference in so many lives. The care and compassion you show to your patients, does not go unoticed. We know how important your jobs is, which is why we take our job as recruiters so seriously. Being able to place nurses in hospitals, where you are doing something as crucial as saving lives, is something we feel thankful to be able to do.
Travel with Tact - From the moment we receive your resume we begin trying to build a relationship with you. We know the importance of becoming your friend, before becoming your recruiter. Building friendly, yet professional relationships allows us to discover what you truly want... and don't want in a travel assignment.
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