R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  

 

As our Senior CDI Specialist, you will conduct clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation.  Every day you will obtain appropriate physician documentation for any clinical conditions or procedures, engage physicians if information is needed in the medical record, and participate in ongoing documentation improvement initiatives.  To thrive in this role, you must have two or more years of CDI experience that includes MS-DRG and APR-DRG focused reviews.  Proficiency in basic computer skills is essential for excelling in this remote production-drive position. 

 

Here’s what you will experience working as a (position title): 

Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation. 

Conduct focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, as well as other identified projects. 

Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules, and regulations and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation improvement opportunities. 

Initiates physician query when ambiguous, missing, or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization. 

Partners with the HIMS coding staff to ensure the accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, severity of illness, risk of mortality, and quality outcomes. 

 

Required Skills: 

A FMG, an active RN license or CCS Certification 

An active CDI Certification including CCDS, CDIP, CRCR, or CPHQ is highly preferred 

For this US-based position, the base pay range is $64,657.00 - $80,821.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

Visit us on Facebook