Clinical Documentation Improvement Specialist
Description
The Clinical Documentation Specialist will facilitate improvement in the overall quality, completeness, and accuracy of clinical documentation. Through concurrent interaction with physicians, case managers, coders and other health care team members. Clinical Documentation Specialist will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients. Serving as a resource to all members of the health care team on documentation guidelines, provide guidance and support, as well as assisting with education and training related to improving the clinical documentation. This position will actively participate in educating appropriate hospital and medical staff about the changes associated with transitioning to ICD-10.
Qualifications
High School Diploma or Equivalent. Bachelor's degree preferred. RN or other applicable clinical license/certification required. Requires a minimum of five years experience in a clinical role and a minimum of two years experience with inpatient coding, process improvement in an acute care facility preferred or equivalent experience. Coding Skills with experience in ICD-9-CM, knowledge of CMS Inpatient Prospective Payment System and working knowledge of AHA Coding Clinic. Certified Documentation Improvement Specialist (CDIA), Licensed Registered Nurse, RHIA, RHIT, CCS or combination preferred. Prior experience in case management, clinical documentation improvement and or coding certification preferred.
An important part for this position will be assisting with the development of Diskriter's CDI software. Experience in CDI program development is a big plus.
Travel will be required
This position will be part time/Contractor. Based on business needs
Description
The Clinical Documentation Specialist will facilitate improvement in the overall quality, completeness, and accuracy of clinical documentation. Through concurrent interaction with physicians, case managers, coders and other health care team members. Clinical Documentation Specialist will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients. Serving as a resource to all members of the health care team on documentation guidelines, provide guidance and support, as well as assisting with education and training related to improving the clinical documentation. This position will actively participate in educating appropriate hospital and medical staff about the changes associated with transitioning to ICD-10.
Qualifications
High School Diploma or Equivalent. Bachelor's degree preferred. RN or other applicable clinical license/certification required. Requires a minimum of five years experience in a clinical role and a minimum of two years experience with inpatient coding, process improvement in an acute care facility preferred or equivalent experience. Coding Skills with experience in ICD-9-CM, knowledge of CMS Inpatient Prospective Payment System and working knowledge of AHA Coding Clinic. Certified Documentation Improvement Specialist (CDIA), Licensed Registered Nurse, RHIA, RHIT, CCS or combination preferred. Prior experience in case management, clinical documentation improvement and or coding certification preferred.
An important part for this position will be assisting with the development of Diskriter's CDI software. Experience in CDI program development is a big plus.
Travel will be required
This position will be part time/Contractor. Based on business needs