Clinical Documentation Improvement Specialist
Skills
Clinical ServicesContent Management SystemsCritical Care MedicineCritical ThinkingEasily AdaptableLeadershipMicrosoft Excel
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- Associate’s Degree in Nursing Bachelor’s Degree in Nursing preferred
- Three to five years recent clinical experience in med-surg ICU telemetry or emergency department
- Active US RN license required
- Knowledge or experience with EMR platforms and CDI platforms
- Highly skilled in CDI practices coding and documentation requirements
- Ability to work in a fast-paced dynamic environment
- Willingness to learn Microsoft and CDI applications
- Effective interpersonal skills
- Self-directed highly motivated and able to work independently
- Ability to resolve moderate to high complexity issues
- Basic computer skills including Word Excel PowerPoint and Outlook
- Excellent judgment critical thinking and independent decision-making
Nice to have
- Flexible
- Self-motivated
- Independent
- Highly motivated
- Adaptable
- Critical thinker
Day to day
- Conduct clinically based concurrent and retrospective reviews of inpatient medical records to improve documentation quality and accuracy
- Identify missing ambiguous or conflicting clinical information and obtain appropriate physician documentation through queries and rounding
- Educate physicians and staff on documentation requirements coding guidelines reimbursement policies and quality improvement initiatives
Hiring process
- Complete the online application
- Contact 312-496-7709 for accommodation if needed