Clinical Documentation Integrity Specialist (w/ 100K SOB)

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Group Life Insurance
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Holiday Gift
• Bereavement Assistance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

Job Purpose

The Clinical Documentation Improvement Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Improvement Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient’s severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding.

This team member serves as an effective change agent as a resource and educator for providers and interdisciplinary care teams.

• Minimum of 3 years of experience in clinical documentation improvement role
• At least 3 years of hospital bedside experience - adult acute care experience in med/surg, critical care, emergency, or PACU
• Must be a Registered Nurse (active PHRN license)
• Clinic Fundamental knowledge of ICD-10 Official Coding Guidelines and DRG Reimbursement Systems
• Demonstrated skills in analytical thinking, problem solving
• Excellent communication and people skills.
• Self-motivated and able to work independently without close supervision
• Proficient in the use of computers including Microsoft Office (Word, Excel, PowerPoint, etc.), Outlook, and other applications necessary to perform the CDS role such as an encoder or CDI workflow and reporting tool.