Clinical Documentation Improvement Specialist
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Job Description
CDI Specialist conducting concurrent and retrospective medical records reviews. Improving documentation quality and collaborating with clinical teams.
Responsibilities:
- Use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records
- Evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation
- Facilitate and obtain appropriate physician documentation for clinical conditions or procedures
- Participate in ongoing documentation improvement initiatives and education plans
Requirements:
- Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred)
- Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department
- An active US RN license is required
- Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms
Benefits:
- Annual bonus plan at a target of 5.00%
- Competitive benefits package
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