Clinical Documentation Improvement Specialist
Job Description:
• Conduct concurrent reviews of inpatient medical records to enhance the quality, accuracy, and completeness of documentation.
• Ensure proper code assignment and alignment with the patient’s clinical condition and care provided.
• Collaborate with providers through education and the physician query process to support severity of illness, quality metrics, and regulatory compliance.
• Maintain expertise in coding principles, government regulations, and third-party requirements while serving as a resource for clinicians, coders, and Revenue Cycle teams.
Requirements:
• Bachelor's degree in Nursing (RN) with current Registered Nurse (RN) licensure;
• OR Graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS or equivalent);
• OR Ten (10) years of experience in Clinical Documentation Improvement (CDI) in an acute care setting
• At least one of the following CDI or coding credentials/certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT)
• Three (3) years of experience in one of the following areas: Medical/Surgical or Critical Care nursing.
Benefits:
• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Professional development opportunities
• Conduct concurrent reviews of inpatient medical records to enhance the quality, accuracy, and completeness of documentation.
• Ensure proper code assignment and alignment with the patient’s clinical condition and care provided.
• Collaborate with providers through education and the physician query process to support severity of illness, quality metrics, and regulatory compliance.
• Maintain expertise in coding principles, government regulations, and third-party requirements while serving as a resource for clinicians, coders, and Revenue Cycle teams.
Requirements:
• Bachelor's degree in Nursing (RN) with current Registered Nurse (RN) licensure;
• OR Graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS or equivalent);
• OR Ten (10) years of experience in Clinical Documentation Improvement (CDI) in an acute care setting
• At least one of the following CDI or coding credentials/certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT)
• Three (3) years of experience in one of the following areas: Medical/Surgical or Critical Care nursing.
Benefits:
• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Professional development opportunities