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CDI Specialist

Company:
Lane Regional Medical Center
Location:
Zachary, LA, 70791
Posted:
September 29, 2025
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Description:

* Facilitates modification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG, MSDRG or APDRG based payer.

Reads and follows AHIMA's Code of Ethics.

* Communicates 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.

* Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record.

* Demonstrate an understanding of complications, co-morbidities, severity of illness, rick of mortality, case mix, secondary diagnosis, impact of procedure on the final DRG, and an ability to impart this knowledge to physicians and other members of the health care team.

* Responsible for the day-to-day evaluation of documentation by the medical staff an healthcare team * Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall trends.

* Develops physician/staff education strategies to promote complete and accurate clinical documentation and correct negative trends.

* Identify patterns, trends variances and opportunities to improve documentation review and process * Assist in the development and reporting of performance measures to the medical staff and other departments and prepare physician specific data information.

* Collaborate with revenue cycle and health information management to effectively investigate documentation errors that affect reimbursement.

Education and Experience: * Maintains current licensure as a Registered Nurse.

* Licensed in the State of Louisiana or Privilege to Practice with license in primary state of residence.

* Minimum of three (3) years clinical experience * Knowledge in case management, utilization review or clinical documentation analysis preferred

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