Location: Cleveland, OH
Cap-Exempt H-1B Position — No lottery required
Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Clinical Documentation Specialist, you will provide education to providers and clinicians to ensure the documentation of all clinical conditions and procedures within the medical record accurately reflects the condition(s) and treatment(s) of patients. You will review for correct DRG, APC and HCC assignment, severity of illness and risk of mortality to align with industry standards regarding compliance. **A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m.** **Inpatient** - Determine principal diagnosis, qualifying secondary diagnoses and impacting procedures and assign appropriate working DRG. - Query and educate providers to obtain the greatest possible diagnostic specificity and present on admission status to accurately reflect the patient’s condition. - Adhere to industry standards pertaining to documentation and coding compliance. - Maintain an accurate and complete record of review and query activity in the CDI software system. - Utilize tools available in CDI software to ensure completion of reviews in assigned areas and optimal selection of working MS DRG and APR DRG. - Meet daily review, query and query response targets. - Assist other caregivers and management as workload requires by providing guidance to CDS staff regarding processes/procedures and coverage determinations. - Meet CEU requirements to maintain license and certification. - Advance formal education and work toward obtaining ACDIS certification. - Participate as needed in providing education to physicians, advanced practice providers and other clinical ancillary staff. - Other duties as assigned. **Outpatient** - C