<p>Position: CDI Specialist</p> <p>The Monogram Clinical Documentation Integrity (CDI) will bring to the role a strong understanding of clinical documentation, coding, and risk adjustment requirements. The CDI Specialist will be a part of a team of clinical documentation improvement specialists to ensure each encounter represents accurate and complete documentation of the patient's health status. Responsibilities include coordinating and performing day-to-day operations to include team-based work, education, training, productivity, work assignments. Facilitates and promotes standardization across the enterprise and ensures alignment of high-quality documentation that supports a compliant and accurate representation of the clinical care provided to patients.</p> <p>Roles and Responsibilities</p> <ul> <li>Maintains production goals </li><li>Audits and analyzes clinical documentation to ensure compliance and looks for opportunities for improvement. </li><li>Review analytics and advises providers on interpretation and/or validation of data; recommends solutions to meet objectives. </li><li>Provides timely correspondence with providers regarding clinical documentation opportunities and queries. </li><li>Keeps abreast of regulatory changes related to documentation, coding and communicates these changes to appropriate staff. </li><li>Identifies trends through data analysis or chart review, reviewing existing policy for accuracy and developing new policies, as necessary. </li><li>Applies mandated regulatory, documentation and coding guidelines to documentation </li><li>Demonstrates proficiency with all areas of CPT, ICD-10 and HCPCS coding. Category II codes, auditing, and education. </li><li>Identifies potential opportunities based on claims and medical record data to ensure the accurate reporting of the severity of the patient's condition. </li><li>Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines </li><li>Performs other duties as required or assigned </li></ul> <p>Position Requirements</p> <ul> <li>CDIP, CCDS, CDEO credentials, required </li><li>RN, LPN credentials, required </li><li>3+ years' experience as CDI specialist, required </li><li>RHIA/RHIT, CPC, CRC, CCS, CCS-P, preferred </li><li>3+ years' experience in HCC Coding, preferred </li><li>Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records </li><li>Experience communicating & working closely with Physicians </li><li>Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment </li></ul> <p>Benefits</p> <ul> <li>Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care </li><li>Competitive salary and opportunity to participate in the company's bonus program </li><li>Comprehensive medical, dental, vision and life insurance </li><li>Flexible paid leave and vacation policy </li><li>401(k) plan with matching contributions </li></ul> <p>About Monogram Health</p> <p>Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.</p> <p>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.</p> <p>Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024's No. 3 fastest growing private company in the United States, please visit here.</p>