CDI Specialist

UPMC is a world-renowned, nonprofit health care provider and insurer committed to delivering exceptional, people-centered care and community services. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC is shaping the future of health through clinical and technological innovation, research, and education. Dedicated to advancing the well-being of our diverse communities, we provide nearly $2 billion annually in community benefits, more than any other health system in Pennsylvania. Our 100,000 employees — including more than 5,000 physicians — care for patients across more than 40 hospitals and 800 outpatient sites in Pennsylvania, New York, and Maryland, as well as overseas. UPMC Insurance Services covers more than 4 million members, providing the highest-quality care at the most affordable price. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technical skills worldwide, with UPMC International facilities in Ireland, Italy, Kazakhstan, and China. U.S. News consistently ranks UPMC Presbyterian Shadyside among the nation's best hospitals in many specialties, and ranks UPMC Children's Hospital of Pittsburgh on its Honor Roll of America's Best Children's Hospitals. UPMC remains dedicated to making health care accessible and inclusive for all. Demonstrating a strong commitment to our communities, UPMC contributed $1.7 billion in benefits to our most vulnerable neighbors in the most recent fiscal year. No matter what career field you're interested in, UPMC has a place for you. Be a part of a workforce dedicated to making a difference in its communities. Be You. Be UPMC.

UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This position will be a work-from-home position working Monday through Friday during normal business hours. The Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team to ensure appropriate clinical severity is captured for the level of services rendered to all inpatients. If you are ready to take the next step in your coding career and have experience as a CDI Specialist, look no further!

Participating at the organizational level in clinical documentation improvement initiatives Communicate with physicians, face-to-face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness Preparing trended data for presentation one-on-one and small to medium groups of physicians Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team Be responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plans