1. Conducts initial and extended-stay concurrent reviews on all selected admissions, and documents findings within CDIS (electronic review system), denoting all key information utilized in the tracking
2. Able to utilize inpatient or outpatient admission criteria to assign only diagnoses that meet acute care In the advent that diagnosis does not meet admission criteria, communicates with Case Management Department to determine the appropriate patient status.
3. Collaborates with physician, physician extender, nurse, case manager/utilization review and HIM coder to identify principal diagnosis options, secondary diagnoses including complications and comorbidities, and procedures. Assists Case Management with reviewing outpatient surgeries and communicating back surgeries that require inpatient status.
4. Identifies need to clarify documentation in medical records, and utilizes strong communication skills with physician, physician extender, case manager, utilization review, nurse or other healthcare professional, utilizing appropriate tools to capture needed documentation.
5. Utilizes monitoring tools to track the progress of the outpatient CDI program through interpretation of the CDIS tracking reports, monitoring reports and Able to identify areas of focus through report analysis.
6. Assists in the development of query response physician reports. Maintains complete confidentiality of patient information, in addition to hospital and individual physician practice pattern data.
7. Provides information and in-services as necessary to physicians and Ancillary Department
8. Role models the principles of a Just
9. Perform other duties as Must be HIPAA compliant.

• Minimum of five (5) years of clinical experience or coding experience in an acute care setting; critical care, medical/surgical or Emergency Department coding.

• N/A

• Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) required.
• Certified Documentation Improvement Practitioner (CDIP) by the American Health Information Management Association (AHIMA) or
• Certified Clinical Documentation Specialist (CCDS) by the Association of Clinical Documentation Integrity Specialists (ACDIS) preferred.

• Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

• N/A

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

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About Vail Health

Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.

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Connections working at Vail Health