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Mosaic Life Care

Remote - Clinical Documentation Integrity Specialist

Posted 24 days ago
2-5 years experience
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AI Summary

The specialist performs clinical documentation integrity reviews, submits provider queries, and manages first and second-level appeals. They also conduct mortality reviews, track denials, and assign appropriate ICD-10-CM/PCS codes and DRGs.

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time

Works under the supervision of the Manager to complete basic to intermediate CDI reviews and re-reviews, submit queries to providers, complete first and second appeal levels. This position evaluates and partners with physician advisor on first and second level appeals, denial tracking. Rounding on patients, mortality reviews and second level reviews are also performed. Review and ICD-10-CM/PCS codes are assigned and appropriate DRG based on Official Coding Guidelines.

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