CDI Physician Reviewer

Conifer Health Solutions


Date: 5 hours ago
City: Taguig
Contract type: Full time

Benefits:

  • 20 Paid Time Off (PTO) per year
  • Annual Appraisal
  • Annual Performance Based Incentive
  • Weekends off
  • HMO plus 2 FREE dependents
  • Group life insurance


Position Summary:

The CDI Physician Reviewer is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management, nursing staff, other patient caregivers, and coding staff. Develops or recommends improvements/enhancements to documentation tools, provider engagement and/or processes related to documentation and related outcomes, as needed.

  • Performs ongoing CDI Final Review/DRG Reconciliation and reports DRG mismatch disagreements for secondary review as defined.
  • Initiates and performs concurrent documentation review of selected inpatient records to clarify conditions/diagnosis and procedures where inadequate or conflicting documentation is suspected.


Qualifications:

  • Graduate of medical school; Medical Doctor (M.D)
  • At least 2 years of clinical or inpatient experience in an acute care setting
  • Experience in Clinical Documentation Improvement preferred

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