Documentation Quality & Appeal Spec

Main Line Health (MLH) is a not-for-profit health system serving portions of Philadelphia and its western suburbs. At its core are four of the region’s respected acute care hospitals—Lankenau Medical Center, Bryn Mawr Hospital, Paoli Hospital and Riddle Hospital—as well as one of the nation’s premier facilities for rehabilitative medicine, Bryn Mawr Rehabilitation Hospital; Mirmont Treatment Center and Main Line Health HomeCare & Hospice. MLH also consists of multi-specialty physician networks, Lankenau Institute for Medical Research- non-profit biomedical research organization. It also comprises five outpatient health centers located in Broomall, Collegeville, Concordville, Exton and Newtown Square. At Main Line Health we recognize that people are the most important asset we have so we believe in fostering a work environment of collaboration, participation and respect. A cornerstone of that belief is a commitment to attracting talented, dedicated people from a broad cross-section of backgrounds, experiences and walks of life—all working together for the common purpose of providing superior care.

**Remote Position** Make an Impact! Shift: Monday - Friday; day shift Develop and Grow Your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. Get Involved! Get involved by attending educational coding sessions and maintaining clinical (RN) CEUs when applicable. Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. Position-Specific Benefits include: You are eligible for up to 240 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!

Are you an experienced CDI reviewer looking to join a premier healthcare provider? If so, come be a part of Main Line Health as a Documentation Quality and Appeals Specialist where you will use your extensive knowledge of clinical documentation requirements and ICD-10 guidelines to perform record review to ensure complete and accurate documentation for continuing care which reflects the appropriate Severity of Illness (SOI) and Risk of Mortality (ROM) as well as any potential Patient Safety Indicators (PSIs). Use your critical skills to understand legal and compliance issues and how they pertain to clinical documentation, and present information to clinical and end users.