Lead CDI Specialist

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY: The Clinical Documentation Integrity Lead is responsible for assisting and supporting leadership in planning, directing, and controlling all aspects of the day-to-day operations for the Clinical Documentation Integrity (CDI) program by establishing a collaborative rapport with CDI Specialists, department leadership, and providers (Physicians, Advanced Practice Professionals and Medical Residents where applicable). The Lead is also responsible for facilitating improvement in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education, and data analysis. Responsible for working with physicians, coders, ancillary department staff, CDI, and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. When needed, perform pre-bill compliance audits to ensure accurate code assignment, application of coding guidelines, and compliance with external regulatory and accreditation requirements. Identifies solutions to improve the overall data quality of the health records and to ensure appropriate reimbursement is obtained for services provided.

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. Perform routine QA for seasoned team members Timely communication of QA concerns to manager Provide client specific orientation for new team members, maintaining consistent, high quality, expert level of experience (when and where applicable) Facilitate the process and support team members moving to a different staffing project Serve as a resource for team members for daily issues connectivity/software/etc. second level reviews query assistance Assist with maintenance of CDI Workbooks to ensure accurate and timely data capture and reporting Will align as back up for Staffing Combination of scheduled hours, coverage for vacancies, and coverage for PTO Attend client meetings as needed Assist CDI Manager in maintaining and updating SharePoint folders for assigned projects Other duties as assigned by management Average 20 billable hours weekly