Could you be our next Documentation Quality and Appeals Specialist at Main Line Health Ellis Reserve
Why work as a Documentation Quality and Appeals Specialist with Main Line Health?
Make an Impact! Are you an experienced CDI reviewer looking to join a premier healthcare provider? If so, come be a part of Main Line Health as a Documentation Quality and Appeals Specialist where you will use your extensive knowledge of clinical documentation requirements and ICD-10 guidelines to perform record review to ensure complete and accurate documentation for continuing care which reflects the appropriate Severity of Illness (SOI) and Risk of Mortality (ROM) as well as any potential Patient Safety Indicators (PSIs).
Use your critical skills to understand legal and compliance issues and how they pertain to clinical documentation, and present information to clinical and end users.
- Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
- Get Involved! Get involved by attending educational coding sessions and maintaining clinical (RN) CEUs when applicable.
- Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health.
Regardless of our unique design, we all share a purpose : providing superior service and care.
Position-Specific Benefits include : You are eligible for up to 240 hours of paid time off per year based on your Full or Part Time status.
We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
Position : Documentation Quality and Appeals Specialist
Shift : Full Time
Experience :
1. Minimum one year experience as a CDI Reviewer in an acute care setting.
2. Minimum of five years of clinical experience in an acute care setting.
3. Working knowledge of DRGs and clinical conditions impacting quality outcomes is required.
Education :
1. Bachelor’s Degree required.
2. Strong clinical training required.
Licensures / Certifications :
1. CCDS or CDIP certification preferred.
2. CCS or concurrent enrollment in AHIMA-approved coding program within 90 days of hire.
3. RN is preferred.
Additional Information
- Requisition ID : 72068
- Employee Status : Regular
- Schedule : Full-time
- Shift : Day Job
- Pay Range : $74, - $116,
- Job Grade : 113
Document Quality & Appeal Spec
Are you an experienced CDI reviewer looking to join a premier healthcare provider? If so, come be a part of Main Line Health as a Documentation Quality and Appeals Specialist where you will use your extensive knowledge of clinical documentation requirements and ICD-10 guidelines to perform record re...
Technical Project Manager
The Technical Project Manager will oversee and manage assigned IT projects in partnership with the CBH IT Department and CBH Project Management Office. The Technical Project Manager is responsible for initiating, planning, executing, monitoring and controlling, and closing assigned projects in align...
Senior Quality Control Specialist
The Senior Quality Control Specialist is responsible for developing and assisting in various operational audits for the OpenSky Credit Card Division. In this role, the Senior Quality Control Specialist will also participate in bank wide audits. Maintain audit schedule for quality control department....
Quality Control Inspector
Job Title: Quality Control Inspector Location: Norristown, PA Type: Contract to hire Schedule: Mon-Fri 8am-5pm Pay: $20-21/hour Overview: Manufacturing company is seeking a Quality Control Inspector to join their team. Operate and understand all quality testing equipment. ...
Quality Systems Specialist [Contract]
The Quality Systems Specialist has experience in Quality Systems, QA, or Compliance in Pharmaceutical and/or Biotechnology companies. The specialist will support and oversee Quality System activities including deviations, CAPAs, and change controls. This individual is responsible for maintaining Qua...
Sr. Technical Writer / Documentation Specialist @ Philadelphia, PA
Technical Writer / Documentation Specialist. Producing detailed documentation using MS Office products (Word, Excel, PowerPoint, Visio). ...
Quality Assurance Specialist
The Quality Assurance Specialist is responsible for assisting the Quality Assurance Manager in performing data audits, special audits, assisting with external and systems audits, overseeing the maintenance of QC records, certifications, Standard Operating Procedures (SOPs), training records, Demonst...
Legal Document Specialist
Sparks Group and an internationally esteemed law firm are in search of a Legal Document Production Specialist for their Philadelphia office. This specialized role focuses on the production, formatting, and revision of complex legal documents. If you are a detail-oriented professional with advanced d...
Clinical Documentation Specialist/Coder
Clinical Documentation Specialist/Coder. Part-Time Clinical Documentation Specialist/Coder. As a Clinical Documentation Specialist/Coder, you will carry out our Mission of Love by providing planning, coordination and direction of health information activities necessary to assure clinical excellence,...
Project Manager I - Child Welfare
Project Manager II, Project Director, or PMO Director), the Project Manager I oversees a small project or phase(s) of a larger project. Therefore, JBS Project Managers must be skilled in guiding projects from launch to close, and they must be curious and passionate changemakers. The Project Manager ...