Cdi Technical Advisor

Mass General Brigham Incorporated

Somerville, MA, United States
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
Clinical documentation reviews
Advanced cdi reviews
Drg assignment validation
The position provides quality assurance for primary CDI reviews, supports accurate code assignment and DRG validation, and ensures optimal reimbursement and data quality for CMS and commercial payors

Job Summary

  • The position provides quality assurance for primary CDI reviews, supports accurate code assignment and DRG validation, and ensures optimal reimbursement and data quality for CMS and commercial payors.
  • Identify discrepancies or missed opportunities in clinical documentation that impact the severity of illness, risk of mortality, DRG assignment, and reimbursement through second-level CDI reviews.
  • Mass General Brigham relies on a wide range of professionals to advance our mission and believes that high-performing teams drive groundbreaking medical discoveries.

Matching Summary

The position provides quality assurance for primary CDI reviews, supports accurate code assignment and DRG validation, and ensures optimal reimbursement and data quality for CMS and commercial payors.

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • clinical documentation reviews
  • advanced CDI reviews
  • DRG assignment validation
  • CMS and commercial payors
  • inpatient coding guidelines

Nice-to-have

  • service-line expertise
  • provider query escalation
  • trend identification and communication
  • collaboration with physicians and coders

Key Requirements

  • Associate's Degree Nursing
  • 5 - 7 years acute medical/surgical care
  • 3 - 5 years clinical documentation improvement
  • Registered Nurse License
  • Nurse Practitioner License
  • Physician Assistant License

Work Rights

Not specified

Tailored Resume

Cover Letter