- 12+ years of CDI or related clinical coding experience, with 4+ years in management
- CDI certification (CCDS, CDIP) or AHIMA / AAPC credential is a strong plus
- Strong stakeholder engagement, coaching, and changing management skills
12+ years of experience in Clinical Documentation Integrity professionals with clinical expertise, inpatient hospital coding, or inpatient clinical documentation integrity / improvement experience
- Inpatient Clinical Documentation Integrity / Improvement experience
- Inpatient hospital clinical critical care experience (examples include hands on patient experience in the Emergency Department, Critical Care, and Med / Surg units)
- Inpatient hospital coding, including the MS-DRG structure
- Inpatient CDI experience (not HCC or physician office-based)
- Clinical knowledge (e.G., sepsis, pneumonia, CHF, respiratory failure)
- Strong understanding of DRG assignment and optimization
- Experience reviewing inpatient medical records
- Familiarity with ICD-10-CM / PCS coding
- Knowledge of clinical indicators, query writing
- Ability to identify inpatient physician documentation gaps
- Understanding of principal diagnosis selection
- Familiarity with MS-DRG
INPATIENT CDI EXPERIENCE
- Inpatient CDI experience (not HCC or physician office-based)
INPATIENT CODING EXPERIENCE
Understanding of :
- o MS-DRG assignment and optimization
- o ICD-10-CM / PCS coding
- o Principal diagnosis selection
- Experience reviewing inpatient medical records
CLINICAL KNOWLEDGE
- Clinical knowledge (e.G., sepsis, pneumonia, CHF, respiratory failure)
- Knowledge of clinical indicators, query writing.
- Ability to identify inpatient physician documentation gaps
CCDS / CDIP or AHIMA / AAPC equivalent credential
Proficiency in DRG optimization, clinical documentation standards, and mentoring
Excellent leadership, interpersonal, and decision-making skills