What are the responsibilities and job description for the RN - SLR position at Reid Health?
Find your WHY at Reid Health
The RN - CDI Specialist position will function as a Second Level Reviewer. The main focus is post-coded and pe-billed with a focus on Medicare patients. The SLR performs post-discharge, final coded, pre-bill reviews of target case pupations (low acuity, long length of stay focus areas, sign & symptom principal diagnoses, compliance related clinical validation opportunities, HACs/PSIs, etc.) to verify that all conditions are accurately reported.
Let's Shine. Together.
Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.
To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.
Overview of Responsibilities
1. Performs post-discharge, final coded, pre-bill reviews of target case pupations (low acuity, long length of stay focus areas, sign & symptom principal diagnoses, compliance related clinical validation opportunities, HACs/PSIs, etc.) to verify that all conditions are accurately reported.2. When appropriate, coordinate with front-line CDSs to query physicians for additional documentation or specificity to ensure completeness and accuracy of the medical record3. As requested, monitors and educates CDI team to ensure clinically credible, effective, and compliant query practices4. Responds to CDS requests for concurrent chart reviews5. Analyzes reports and data to identify trends, ascertain areas of opportunity, and provide education to facility based CDSs and physicians based on this analysis6. Responds to requests for clinical review and perspective on those cases when the CDS and Coder cannot reconcile the final DRG7. Validate the appropriateness of Coder requests to withdraw an outstanding query8. Responds to HIM coding requests for review from a clinical perspective9. Assists with query escalation to the Physician Champions 10. Develops and promotes collaborative processes with CDS, Coding and Compliance, and strong working relationships with physicians and other health care professionals to accomplish program goals and ensure exceptional documentation
Education/Experience
Education Required: ASN or Associate of Science in Helath Information Management
Education Preffered: Advanced degrees in Nursing or Health Information Management
Experience Required: 2 or more years working in an acute care setting or ambulatory office setting. Previous experience in CDI.
Licensure: Registered Nurse as applicable
Schedule Details
Day Shift. 40 hours weekly. Monday - Friday, no holidays. Position onsite.What We Offer
Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022
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Other Information
EEO Statement: Reid Health is an Equal Opportunity Employer
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