The Clinical Documentation Integrity (CDI) Specialist Associate provides support and expertise by assessing and reviewing inpatient medical records to ensure documentation reflects diagnosis and treatment. Collaborates with providers, patient caregivers, quality department, and medical coding to ensure appropriate DRG assignment. Facilitates modifications to the medical record documentation to accurately reflect the patient’s severity of illness, risk of mortality, and DRG. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the CDI Manager in a hospital setting.
Originally posted on Himalayas
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