Top 10 Cdi coding Jobs in Baltimore Md

HIM Clinical Document Specialist, Hybrid
University of Maryland Medical System —Bel Air, MD
- $38.67 - $58.05 an hour
- Full-time
- Nursing
- Senior level
- Associate's degree
HIM Clinical Document Specialist, UMMC
University of Maryland Medical System —Baltimore, MD
- Full-time
- Medicine
- RN License
- Inpatient
Sr Inpatient Coder, FT Remote
University of Maryland Medical System —Baltimore, MD
- Full-time
- Remote
- Customer service
- Computer literacy
- Analysis skills
Senior Consultant - Clinical Documentation Specialist
Deloitte —Baltimore, MD
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Coding Compliance Auditor Team Lead- Educator
University of Maryland Medical System —Baltimore, MD
- $36.83 - $55.29 an hour
- Full-time
- Surgery
- Customer service
- 5 years
Clinical Documentation Improvement Nurse
Greater Baltimore Medical Center, Inc. —Baltimore, MD
- $73,465.95 - $126,056.34 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
Physician Advisor Director
Greater Baltimore Medical Center, Inc. —Baltimore, MD
- $148,140.24 - $266,652.44 a year
- Full-time
- Medicine
- Hospital
- Conflict management
Quick Apply
Inpatient Medical Coding Quality Auditor
Pena4 Inc. —United States
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- 5 years
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
3d

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Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321
Accenture —Columbus, OH
Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
$51.20 - $61.20 an hour
Compliance Educator
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required. Strong visual and graphic design skills.

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HIM Clinical Document Specialist, Hybrid

University of Maryland Medical System -
Bel Air, MD

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Job Details

Full-time
$38.67 - $58.05 an hour

Qualifications

Inpatient experience
Acute care facility experience
Retrospective medical coding audits
Health record chart audits
Data interpretation
Clinical documentation improvement
Health information management
Clinical documentation standards
Medical record review for billing accuracy

Full Job Description

Job Requirements

Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association’s (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties.

Performs concurrent initial chart reviews within 24-48 hours after admission with follow-up reviews occurring every 1-3 days, and retrospective chart reviews, when applicable, to accurately assign/capture the APR-DRG, severity of illness (SOI) and risk of mortality (ROM) in order to reflect quality indicators, resource consumption and outcome measures to ensure accurate and complete documentation for final coding and billing. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in provider documentation.
Communicates with providers either verbally or through written methodology to validate observations. Develops provider queries, in compliance with organizational and AHIMA standards when documentation in the medical record pertaining to a significant reportable condition or procedure or other reportable data element is conflicting, incomplete or ambiguous. Utilizes a comprehensive and strong clinical skill set, background and experience in acute care, exceptional critical thinking skills and the ability to prioritize and analyze data quickly and accurately in order to decipher complex clinical cases. Adds detail and/or acuity to ambiguous or implied diagnoses. Will verify if a diagnosis was Present on Admission (POA) and establish the clinical significance and suspected etiology of a finding. Works concurrently to ensure documentation of discharge diagnosis (es) and any co-existing comorbidities are a complete reflection of the patient’s clinical status and care. Evaluates medical record documentation using knowledge about HIM Standards of Coding. Monitors work progress and data to strengthen areas of focus. Consistently meets established productivity metrics for record review.
Identifies opportunities for education based upon query topics or other identified need for accurate, complete and consistent documentation in the medical record. Collaborates with providers, leadership and teams to assist with the development and implementation of specific tools and educational materials to support medical record documentation. Participates in both formal and informal education sessions including presentations, in-services, face-to-face interactions, newsletters, posters, etc. to the medical staff or clinical departments. Attends service line clinical program meetings and CDI meetings as requested. Identifies strategies for sustained work processes that facilitate complete, accurate clinical documentation. Manages initiatives to support accurate case-mix and quality documentation.
Acts as a clinical liaison between HIM/coding staff and providers. Partners with coding professionals to perform reconciliation, per policy, to ensure accuracy of diagnostic and procedural data in order to validate the CDS Final APR-DRG/ SOI/ROM against the Final Coded APR- DRG/SOI/ROM.
Seeks continuing education opportunities in order to stay current on CDI matters and/ or to maintain credentials.

Work Experience

Required

Associate’s Degree
Registered Nurse (RN), Physician (MD), Physician Assistant (PA), Certified Registered Nurse Practitioner (CRNP)
Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist or Minimum of 3 years chart abstraction/chart review experience
Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility.

Preferred

Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) at time of Hire
Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $38.67 - $58.05

Other Compensation (if applicable): Shift Differentials

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].

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Refine Your Search

cdi coding jobs in baltimore md

HIM Clinical Document Specialist, Hybrid

HIM Clinical Document Specialist, UMMC

Sr Inpatient Coder, FT Remote

Senior Consultant - Clinical Documentation Specialist

Coding Compliance Auditor Team Lead- Educator

Clinical Documentation Improvement Nurse

Physician Advisor Director

Inpatient Medical Coding Quality Auditor

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