Adventist HealthCare

Oversee daily CDI operations including staffing, workload balancing, and the development of clinical documentation education for various disciplines. Perform real-time clinical reviews of complex cases to ensure accurate SOI/ROM and collaborate with quality reviewers to mitigate documentation risks.

The Inpatient Coding Specialist is responsible for accurately abstracting inpatient accounts and assigning appropriate ICD-10-CM and PCS codes in accordance with regulatory guidelines. They also identify physician query opportunities to clarify documentation and resolve issues related to reimbursement and compliance.

The specialist will examine medical records to ensure documentation accuracy and compliance with regulatory standards while collaborating with clinical staff. They will also track documentation metrics and provide education to physicians to improve overall documentation quality and revenue cycle outcomes.