Job Description
**This is a fully remote role but you must live within 60 miles of an HCA facility**
Introduction
Do you want to join an organization that invests in you as a CDI Reconciliation Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated CDI Recon Specialist like you to be a part of our team.
Job Summary and Qualifications
Assessment of Documentation:
Performs high priority retrospective reviews of the complete medical record and the coding summary of assigned population.
Analyzes documented and clinically supported conditions in multiple electronic health record technologies to ensure complete documentation.
Performs independent coding of the record to assure that the HIM coding accurately reflects the documentation.
Ensures documented conditions, clarifications, and coded diagnoses are clinically supported.
As appropriate, enters or revises Working and Target DRGs that accurately reflect expected CDI query impact.
Demonstrates knowledge of Official Coding Guidelines and the DRG Classification System to insure regulatory compliance related to the CDI and coding functions.
Identifies and documents education opportunities for CDI Specialists
Thoroughly documents reviews and other pertinent information in designated systems by established deadlines.
Achieves and maintains key operating metrics consistent with CDI Reconciliation program requirements.
HSC Escalation:
Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and Coding Clinics determines when and/or if escalation to the HSC is necessary.
Escalates DRG mismatches with coding opportunities as appropriate per established protocols.
Monitors and documents HSC responses.
Strategic Relationships:
Develops and strengthens collaborative relationships with stakeholders to advance the care of our patients
Actively encourages collaboration and possesses excellent interpersonal skills in building and maintaining crucial relationships
Delivers information in a clear, concise and compelling manner to facilitate accomplishment of work goals
Delivers targeted and actionable communications that invites two-way professional communication. Adjusts messages appropriately by audience
Demonstrates a willingness and ability to assist others
Self-Development:
Demonstrates proficiency in current and emerging technologies
Simultaneously uses multiple technologies to complete unique patient-level reviews
Independently takes proactive steps toward problem resolution
Completes all mandatory and assigned education by established deadlines
Attends scheduled meetings and continuing education programs
Education & Experience:
Bachelor's degree required
5+ years of experience in acute inpatient CDI or equivalent combination of education and/or experience required
Licenses, Certifications, & Training:
Registered Nurse - Currently licensed as a Registered Professional Nurse in the state of residence
Or any coding credential nationally recognized as administered through AHIMA or ACDIS required
HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleledresources and opportunitiesto reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education andcareer advancement opportunities, every person has a solid foundation for success. Nashville is also home to ourExecutive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, ****** orientation, age, marital status, veteran status, or disability status.
Introduction
Do you want to join an organization that invests in you as a CDI Reconciliation Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated CDI Recon Specialist like you to be a part of our team.
Job Summary and Qualifications
Assessment of Documentation:
Performs high priority retrospective reviews of the complete medical record and the coding summary of assigned population.
Analyzes documented and clinically supported conditions in multiple electronic health record technologies to ensure complete documentation.
Performs independent coding of the record to assure that the HIM coding accurately reflects the documentation.
Ensures documented conditions, clarifications, and coded diagnoses are clinically supported.
As appropriate, enters or revises Working and Target DRGs that accurately reflect expected CDI query impact.
Demonstrates knowledge of Official Coding Guidelines and the DRG Classification System to insure regulatory compliance related to the CDI and coding functions.
Identifies and documents education opportunities for CDI Specialists
Thoroughly documents reviews and other pertinent information in designated systems by established deadlines.
Achieves and maintains key operating metrics consistent with CDI Reconciliation program requirements.
HSC Escalation:
Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and Coding Clinics determines when and/or if escalation to the HSC is necessary.
Escalates DRG mismatches with coding opportunities as appropriate per established protocols.
Monitors and documents HSC responses.
Strategic Relationships:
Develops and strengthens collaborative relationships with stakeholders to advance the care of our patients
Actively encourages collaboration and possesses excellent interpersonal skills in building and maintaining crucial relationships
Delivers information in a clear, concise and compelling manner to facilitate accomplishment of work goals
Delivers targeted and actionable communications that invites two-way professional communication. Adjusts messages appropriately by audience
Demonstrates a willingness and ability to assist others
Self-Development:
Demonstrates proficiency in current and emerging technologies
Simultaneously uses multiple technologies to complete unique patient-level reviews
Independently takes proactive steps toward problem resolution
Completes all mandatory and assigned education by established deadlines
Attends scheduled meetings and continuing education programs
Education & Experience:
Bachelor's degree required
5+ years of experience in acute inpatient CDI or equivalent combination of education and/or experience required
Licenses, Certifications, & Training:
Registered Nurse - Currently licensed as a Registered Professional Nurse in the state of residence
Or any coding credential nationally recognized as administered through AHIMA or ACDIS required
HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleledresources and opportunitiesto reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education andcareer advancement opportunities, every person has a solid foundation for success. Nashville is also home to ourExecutive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, ****** orientation, age, marital status, veteran status, or disability status.
💡 Quick Summary
Seeking a career-building opportunity? The CDI Reconciliation Specialist position is now open for candidates interested in the Work from home Jobs sector. This role in New York offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
