Posted: 19-Nov-23
Location: MN and WI Remote, Minnesota
Salary: Open
Categories:
Internal Number: 230272BC
About Children's Minnesota
Children's Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts™ in our region, Children's Minnesota is regularly ranked by U.S. News & World Report as a top children's hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org.
Department Overview
* Oversight of the quality, timeliness, and accuracy of the medical record and patient indexes for patient care, legal, revenue, research, and regulatory needs;
* Classification of diagnosis and procedures according to approved classification and nomenclatures such as ICD-9, CPT, Snomed, etc.
* Maintaining the security and integrity of health information;
* Providing documentation tools/services such as dictation, transcription, electronic templates, scribes, and paper forms;
* Collection, quality control, and dissemination of data for comparative data bases and statistical reports including specific disease and procedure registries;
* Providing access to medical record information through release of information processes.
Position Summary
The HIM CDI Analyst provides concurrent review of the medical record to ensure that clinical documentation supports the patient's disease complications, severity, co-morbidities and risk of mortality. Queries the professional staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete provider documentation that supports the severity of patient illness and risk of mortality. Performs a thorough chart review to identify comorbidities/complications, and documents these appropriately on the DRG worksheet. Demonstrates an understanding of the importance of and tries to capture all potential secondary diagnoses for profiling purposes. Demonstrates creativity and enthusiasm while pursuing the goals of the DRG Assurance process, of the department and the organization. Maintains the ability to be flexible, and prioritizes daily responsibilities.
*Registration as a Health Information Technician (RHIT), Health Information Administrator (RHIA) or Bachelors of Science Nursing (BSN), Registered Nurse (RN), Medical Doctor (MD) or comparable license required. The following are preferred: Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Coding Specialist (CCS), and ICD-10 certification or designation.
Education:
*As outlined in the above credentials' requirements.
Experience:
*5+ years coding experience for inpatient cases or solid clinical background in patient care preferred.
Knowledge/Skills/Abilities:
*Knowledge of electronic medical records, care delivery documentation systems and related medical record documents.
*Knowledge of pediatric age-specific needs and the elements of disease processes and related procedures.
*Strong broad-based clinical knowledge and understanding of pathology/physiology.
*Excellent written and verbal communication skills and critical thinking skills.
*Ability to work independently in a time-oriented environment.
*Computer literacy and familiarity with the operation of basic office equipment.
*Assertive, respectful personality traits to facilitate ongoing provider communication.
*Ability to stand, walk and read medical record documentation (paper and on-line) in the performance of job responsibilities.
*Working knowledge of reimbursement system and payer needs preferred, but not required.
Physical Demands
Please click here to view the Physical Demands
All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification. Children's Minnesota requires proof of COVID-19 vaccine, and as recommended by the Centers for Disease Control and Prevention (CDC), immunity to vaccine preventable infectious diseases, prior to employment.
Children's Minnesota is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.