Immediate need for a talented Clinical Documentation Specialist CDI in California . This is a 06+months contract opportunity with long-term potential and is located in California(REMOTE). Please review the job description below and contact me ASAP if you are interested.

KEY REQUIREMENTS AND TECHNOLOGY EXPERIENCE:

• Key Skills; CCDS, CCS, CDIP
• A minimum of 3–5 years of recent experience in Clinical Documentation Improvement (CDI) is required.
• Candidates must hold at least one of the following certifications: CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner), or CCS (Certified Coding Specialist) or any other Certificate.
• Educational background should include one of the following: Nursing (BSN or MSN), MD, Foreign Medical Graduate, or an allied health degree.
• CCS, CCDS or CDIP Certification
• Clinical Documentation Improvement.
  Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
  Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
  By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
  

  S

• Effective and efficient inpatient concurrent medical record review for accurate and completedocumentation, within an electronic medical record environment.
• Reviews clinical cases in collaboration with medical coding staff and physicians, to identify additional diagnoses that impact severity of illness/risk of mortality indicators for each patient.
• Manages and prioritizes numerous cases on a daily basis.
• Manages cases at the facility level, using flexibility to provide coverage for any NCAL facility, based on staffing need, as determined by census, on a daily basis.
• Facilitates appropriate clinical documentation to support diagnosis capture and to ensure the level of service rendered to all patients is accurately recorded and reflected.
• Provides expert analysis of the medical record documentation for signs/symptoms/clinical indicators, to identify potential primary and secondary diagnoses and complications existing within each patient case.
• Formulates and distributes physician documentation clarification queries following coding guidelines and all applicable compliance standards.
• Creates, monitors and tracks verbal and written queries, responses and their impact; producing reports as required.
• Identifies documentation trends, and areas of opportunity for physician education regarding documentation.
• Conducts data and root cause analysis, provides feedback and shares findings on the analysis to regional CDI Leadership.
• Collaborates with TPMG contacts and CDI staff and Leadership in the development of programs which provide alignment with education for internal customers to support clinical documentation guidelines.
• Leads special projects/committees that contribute to the development of an effective CDI program.Collaborates and communicates with local HIM staff and local HIM leadership to ensure accurate documentation capture.
• Effectively communicates with local coding staff regarding query responses, to assist with the efficiency and completeness of the medical record of the post-discharge physician query process.
• Provides feedback and serves as clinical expert resource to CDIC QA staff.
• Provides expert advice to CDI Regional Managers to develop, implement and monitor policies and procedures that support organizational goals and business objectives related to the CDI Program.
• Adheres to organizational standards to promote a cooperative work environment by utilizing professional communication skills.
• Collaborates effectively with coding professionals, nursing and clinical experts, ancillary services, physicians and administration.
• Establishes, fosters and maintains effective working relationships with the local and regional staff/teams/leadership.
• Client’s conducts compensation reviews of positions on a routine basis.
• At any time, Client’s reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status.
• Such changes are generally implemented only after notice is given to affected employees