CDI Physician Reviewer

4 days ago

Taguig, National Capital Region, Philippines Conifer Health Solutions Full time ₱900,000 - ₱1,200,000 per year

Benefits:

  • 20 Paid Time Off (PTO) per year
  • Annual Appraisal
  • Annual Performance Based Incentive
  • Weekends off
  • HMO plus 2 FREE dependents
  • Group life insurance

Position Summary:

The CDI Physician Reviewer is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management, nursing staff, other patient caregivers, and coding staff. Develops or recommends improvements/enhancements to documentation tools, provider engagement and/or processes related to documentation and related outcomes, as needed.

  • Performs ongoing CDI Final Review/DRG Reconciliation and reports DRG mismatch disagreements for secondary review as defined.
  • Initiates and performs concurrent documentation review of selected inpatient records to clarify conditions/diagnosis and procedures where inadequate or conflicting documentation is suspected.

Qualifications:

  • Graduate of medical school; Medical Doctor (M.D)
  • At least 2 years of clinical or inpatient experience in an acute care setting
  • Experience in Clinical Documentation Improvement preferred

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