UPMC Corporate Revenue Cycle is looking to hire several Senior Clinical Documentation Improvement Specialists to join our Coding Department. This position will be a work-from-home position working Monday through Friday during normal business hours.

The Senior Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team to ensure that appropriate clinical severity is captured for the level of services rendered to all inpatients. In this role, you will also support the CDS team through education, mentoring, and other CDI initiatives as needed.

Responsibilities:

Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plansBe responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team. Communicate 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 Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team. Preparing trended data for presentation one-on-one and small to medium groups of physicians Participating at the organizational level in clinical documentation improvement initiatives Onboarding and mentoring new CDI Specialist staff. Assist with the one-on-one education with staff identified as having quality or productivity-related deficits based on audits conducted within the department. Conduct audits on staff to ensure quality indicators are met. Review findings with appropriate personnel. Provide education-related sessions on CDI topics during staff meetings or through email communication at least twice per year. Perform CDI related work duties in accordance with established quality and productivity standards (i.e., work CDI patient list and markers regularly to ensure work production requirements are met). Performs in accordance with system-wide competencies/behaviors. Performs other duties as assigned.