Clinical Documentation Integrity - Second Level Reviewer

University of Miami

Multiple Locations, USA
High-level complex secondary case reviews
Provider documentation for severity of illness
Accuracy of patient outcomes
The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient outcomes, and complexity of patient care

Job Summary

  • The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient outcomes, and complexity of patient care.
  • Applies advanced knowledge of CMS star rating, Vizient, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities.
  • The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Matching Summary

The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures to reflect severity of illness, expected risk of mortality, accuracy of patient outcomes, and complexity of patient care.

Skills & Requirements

Must-have

  • High-level complex secondary case reviews
  • Provider documentation for severity of illness
  • Accuracy of patient outcomes
  • Clinical validation
  • ICD-10-CM/PCS, APR DRG, MS DRG proficiency
  • CDI Software and encoder proficiency

Nice-to-have

  • Collaboration with healthcare team
  • Professional development participation
  • Academic medical center experience

Key Requirements

  • Four (4) Year/bachelor’s degree required
  • Current RN or MD required
  • CCDS or CDIP certification required
  • At least three (3) years recent inpatient CDI experience required
  • At least one (1) year experience with mortality, PSI, HAC quality reviews required
  • Proficiency with Microsoft Office required

Work Rights

Not specified

Tailored Resume

Cover Letter