About this role
The Clinical Documentation Improvement Officer collaborates extensively with the physicians, nursing staff, other patient caregivers and coding staff, quality department, and HIM staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction, and submission of accurate data required by Department of Health (DOH) and all payers. Facilitates concurrent modifications to clinical documentation to secure the appropriate reimbursement of clinical severity and services rendered to patients with a Diagnosis Related Group, official coding guidelines as well as other methodologies published by DOH. Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Communicates with and educates all hospital staff including but not limited to all the physicians, nursing, care management, allied health practitioners, coders, and other patient financial-service staff. Supports denial management team in providing the references to provide justifications related to clinical documentation.
Qualification :-
Special Certificate:-
Required:
• One to two years of real-time experience in CDI.
Desired:
• Four to five years of inpatient coding
• Good Knowledge in IR-DRG, ICD-10-CM, and CPT Coding guidelines.
• Experience with Statistical analysis/ Data Analysis
• Experience with Excel/ Power BI/Tableau
• Knowledge of SQL/Python is a plus