Job Description

Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and Medical treatment facilities across the country. We’re a dynamic and growing health care organization, offering a wide range of employment opportunities. We are seeking professionals and dedicated individuals to be part of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with a dedicated and caring organization and start doing your life's best work.

Pay: $27.00 - $28.23 per hour

Sign on Bonus: $1,500.00

Location:  Lt. Col. Luke Weathers, Jr. VA Medical Center

Schedule:  Monday–Friday, full-time (40 hours/week)

Key Responsibilities:

• Review and analyze health records for documentation improvement opportunities (inpatient & outpatient).
• Generate and communicate clinical queries to healthcare providers to clarify documentation\
• Develop and implement the facility’s CDI management program for both billable and non-billable inpatient and outpatient services.
• Focus on inpatient treatment files (PTFs) and outpatient abstracts.
• Develop SOPs, workflows, and templates aligned with current standards.
• Lead improvement plans updating problem lists/SNOMED-CT, consistent with ICD-10 CM codes.
• Participate in code or MS-DRG assignment reconciliation activities.
• Evaluate the CDI program and drive performance improvement initiatives.
• Monitor and report key CDI metrics (query rates, response rates, impact measures).
• Prepare and deliver required weekly, bi-monthly, and monthly reports.
• Attend and actively participate in collaborative meetings with healthcare staff and administrators.

Qualifications:

• U.S. citizenship and ability to obtain a Public Trust government security clearance are required.
• Bachelor's degree
• Current certification from one or more of: AHIMA, AAPC, or ACDIS.
• At least 2 years’ experience as a Clinical Documentation Integrity Specialist.
• In-depth understanding of medical terminology, coding principles, and healthcare documentation standards.
• Familiarity and experience with electronic health record systems such as VistA/CPRS preferred.
• Knowledge of MS-DRG assignment, coding guidelines, and clinical documentation requirements.
• Familiarity with The Joint Commission, CMS, and VHA directives as related to health information management.

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