CDI Reconciliation Specialist

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleledresources and opportunitiesto reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education andcareer advancement opportunities, every person has a solid foundation for success. Nashville is also home to ourExecutive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

*This is a fully remote role but you must live within 60 miles of an HCA facility** Introduction Do you want to join an organization that invests in you as a CDI Reconciliation Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Assessment of Documentation: Performs high priority retrospective reviews of the complete medical record and the coding summary of assigned population. Analyzes documented and clinically supported conditions in multiple electronic health record technologies to ensure complete documentation. Performs independent coding of the record to assure that the HIM coding accurately reflects the documentation. Ensures documented conditions, clarifications, and coded diagnoses are clinically supported. As appropriate, enters or revises Working and Target DRGs that accurately reflect expected CDI query impact. Demonstrates knowledge of Official Coding Guidelines and the DRG Classification System to insure regulatory compliance related to the CDI and coding functions. Identifies and documents education opportunities for CDI Specialists Thoroughly documents reviews and other pertinent information in designated systems by established deadlines. Achieves and maintains key operating metrics consistent with CDI Reconciliation program requirements. HSC Escalation: Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and Coding Clinics determines when and/or if escalation to the HSC is necessary. Escalates DRG mismatches with coding opportunities as appropriate per established protocols. Monitors and documents HSC responses. Strategic Relationships: Develops and strengthens collaborative relationships with stakeholders to advance the care of our patients Actively encourages collaboration and possesses excellent interpersonal skills in building and maintaining crucial relationships Delivers information in a clear, concise and compelling manner to facilitate accomplishment of work goals Delivers targeted and actionable communications that invites two-way professional communication. Adjusts messages appropriately by audience Demonstrates a willingness and ability to assist others Self-Development: Demonstrates proficiency in current and emerging technologies Simultaneously uses multiple technologies to complete unique patient-level reviews Independently takes proactive steps toward problem resolution Completes all mandatory and assigned education by established deadlines Attends scheduled meetings and continuing education programs