Responsible for concurrent and retrospective reviews of medical record documentation to ensure that the medical record is accurate and complete and reflects the patients condition as well as services performed. The Clinical Documentation Integrity (CDI) Specialist support accurate ICD 10 CM/PCS coding, DRG assignment, severity of illness, risk of mortality, reimbursement, risk adjustment, and quality reporting.
CDI works with coding, physicians, physician advisors, quality teams, as well as utilization management and other revenue cycle and clinical teams to support accurate data. in delivering documentation education to providers including education of risk stratification, chronic conditions, and appropriate documentation to support billing.
Participate in development of templates, smart phrases, other documentation tools in collaboration with clinical teams to support documentation improvement initiatives .
Monitor and support improvement of patient chart documentation for both inpatient and outpatient settings
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org.
Nemours Children's Health is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust.
Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors.
Nemours began more than 80 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions.
Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own.
We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research.
Nemours is growing to better serve the children and families in our care. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.
