Apply strong project management skills to coordinate priorities, track progress, and support successful execution of CDI initiatives.
Communicate effectively and collaborate with medical staff, clinical departments, and key facility leadership team members as needed.
Maintain and demonstrate strong knowledge of CDI and coding process best practices.
Drive optimal use of CDI technology tools, dashboards, and reporting capabilities.
Ensure CDI team accountability for key performance indicators and quality expectations.
Duties and Responsibilities
Lead Duties (60% approximately 24 hours/Week)
Responsible for overseeing the daily review assignments for each CDI Specialist to ensure review workload is distributed evenly.
Cover out of office staff assignments (i.e. closing out pending queries, re-reviews, DRG MM etc.)
Monitors CDI productivity and project utilization monthly
Serves as a subject matter expert in clinical data reporting and leads the improvement of the overall quality and completeness of clinical documentation through the application of evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication, and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation.
Monitors internal key indicator metrics and develops corrective action plan when metrics not achieved.
Performs analytical assessment of data, data manipulation, and professionally articulates data outcomes to improve operations and report to various committees, including but not limited to the monthly facility specific Utilization --- Review Committees and Chief Medical Officer.
Performs monthly quality reviews and presents findings to the CDI Manager and Director
Develop education for physicians and CDI staff as needed.
Participates in interviewing, hiring and onboarding of CDI specialists.
Clearly communicate program updates, concerns or client requests that are out of scope to the Manager and Director of CDI
Other duties assigned.
CDI Duties (40% approximately 16 hours/Week)
Facilitates appropriate clinical documentation to support appropriate diagnosis and procedure coding.
Collaborates with HIM coding staff to promote complete and accurate clinical documentation and correct negative trends.
Communicates with physicians, case managers, coders, and other members of the care team to facilitate comprehensive medical record documentation to reflect treatment, decision-making and severity of illness.
Assigns a working DRG using official coding guidelines on initial and subsequent follow up reviews.
Updated working DRG for Case Management team per facility specific process
Queries providers on a concurrent (and as appropriate retrospective) basis. Collaborates with providers per facility policy to clarify documentation in the medical record.
Formulate compliant and credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, procedures, co-morbidities, present on admission (POA), quality core measures, and patient safety indicators (PSI’s). (Following ACDIS, AHIMA and CMS guidelines for effective and compliant query process.)
Utilizes software system (including CDI and Encoder technology) to collect, track and report outcomes. Maintains integrity of data collection.
What You Will Need
Must hold at least one of the following credentials: RHIA, RHIT, RN, MD, or MD-equivalent clinical credentials.
Must maintain required credentials and certifications throughout employment.
Minimum of 5 years of acute care hospital CDI experience required.
Familiarity with encoder use and DRG assignment, including MS-DRG and APR-DRG methodologies.
What Would Be Nice to Have
CCDS, CCS or CDIP certification
Strong clinical understanding of disease processes.
#LI-DNI
#indeedsponsored
The annual salary range for this position is $89,000.00-$148,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
