Clinical Documentation Improvement

1 month ago

Bismarck, United States Wheeler Staffing Partners Full time

Clinical Documentation Improvement (CDI) RN Specialist


Employment Type: Contract to Hire

Location: BISMARCK, ND, 58501

Sign-On Bonus: $5,000 with a 2-year commitment upon conversion to full-time

Schedule: Monday - Friday, 7:30 AM - 4:00 PM

Work Arrangement: Fully onsite during the contract period; potential for a hybrid schedule (3 days onsite, 2 days remote) after conversion and a 6-month evaluation.

Key Requirements:

  • Licenses: Active RN License in the state of North Dakota
  • Experience: Acute Care Experience (ICU, Med Surg, PICU, Tele)


Job Summary

The Clinical Documentation Improvement (CDI) Specialist is responsible for reviewing medical records to ensure accurate and complete physician documentation, supporting appropriate severity of illness, risk of mortality, and complexity of care. This role involves collaboration with various healthcare team members to enhance documentation accuracy and compliance with regulatory standards.


Essential Duties and Responsibilities

  • Record Review: Conduct initial and follow-up medical record reviews to evaluate and improve documentation accuracy for MS-DRG assignment, risk of mortality, and severity of illness.
  • Physician Queries: Formulate and resolve queries regarding unclear or conflicting health record documentation.
  • Collaboration: Work closely with case managers, nursing staff, and other ancillary staff to address documentation issues and queries before patient discharge.
  • Professional Development: Stay updated with AHA Coding and Reporting Guidelines, CMS directives, and participate in mandatory coding seminars and CDI education.
  • CDI Activities: Communicate and address CDI activities and coding issues to ensure proper follow-up and resolution.
  • Compliance and Auditing: Adhere to all vaccination and screening requirements as per client policy.


Knowledge, Skills, and Abilities

  • Strong teamwork, initiative, and time management skills
  • Advanced understanding of Medicare Part A and familiarity with Medicare Part B
  • Knowledge of disease pathophysiology, drug utilization, and MS-DRG classification
  • Proficient in critical thinking, problem-solving, and deductive reasoning
  • Excellent organizational, written, and verbal communication skills
  • Ability to work independently, whether remotely or on-site
  • Understanding of documentation strategies and improvement opportunities
  • Capable of maintaining a comprehensive auditing and monitoring program


Education and Experience

  • Education: Graduate from a Nursing program, BSN, or equivalent
  • Experience: Zero (0) to two (2) years of relevant experience in Acute Care nursing
  • Certifications: Active state Registered Nurse license; CDIP or CCDS preferred


Physical Demands and Work Environment

  • Ability to sit for extended periods and efficiently use a computer
  • Good visual acuity
  • Must be able to travel nationally as needed, not to exceed 10%


This is an excellent opportunity for a dedicated and knowledgeable CDI Specialist to join a reputable healthcare organization. If you meet the qualifications and are committed to improving clinical documentation standards, we encourage you to apply.

  • Clinical Documentation Improvement

    1 month ago

    Bismarck, United States Wheeler Staffing Partners Full time

    Clinical Documentation Improvement (CDI) RN SpecialistEmployment Type: Contract to HireLocation: BISMARCK, ND, 58501Sign-On Bonus: $5,000 with a 2-year commitment upon conversion to full-timeSchedule: Monday - Friday, 7:30 AM - 4:00 PMWork Arrangement: Fully onsite during the contract period; potential for a hybrid schedule (3 days onsite, 2 days remote)...

  • Gastroenterologist - Clinical Specialist

    10 hours ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    About the RoleCatholic Health Initiatives is seeking a highly skilled Gastroenterologist to join our team in Bismarck, North Dakota. As a Clinical Gastroenterologist, you will be responsible for providing high-quality patient care, diagnosing and treating various medical conditions, and developing comprehensive treatment plans.Key ResponsibilitiesPatient...

  • Clinical Anesthesia Specialist

    2 weeks ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    OverviewCatholic Health Initiatives is in search of a Board Certified/Board Eligible Clinical Anesthesia Specialist to enhance our medical team. Our healthcare facility is a comprehensive trauma center dedicated to providing exceptional medical services.Practice Highlights:No fellowship training requiredOur anesthesia department consists of a team of skilled...

  • Family Clinical Advocate

    1 month ago

    Bismarck, North Dakota, United States Sharecare, Inc. Full time

    Job Description:Sharecare is the leading digital health company that helps people – no matter where they are in their health journey –​ unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities...

  • Nurse Reviewer

    2 days ago

    Bismarck, North Dakota, United States Gainwell Technologies LLC Full time

    About the RoleWe are seeking a highly skilled and experienced Nurse Reviewer to join our team at Gainwell Technologies LLC. As a key member of our clinical review team, you will play a critical role in ensuring the quality and accuracy of our clinical review processes.Key ResponsibilitiesConduct thorough and accurate clinical reviews of medical records to...

  • Clinical Dietitian

    3 weeks ago

    Bismarck, United States CommonSpirit Health Full time

    Overview: Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinical Outpatient Pharmacist

    2 weeks ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    OverviewSince its inception, Catholic Health Initiatives has been committed to enhancing health care quality in the community by improving the lives of patients through exceptional care. We strive to uphold our legacy of excellence and innovation with professionals dedicated to providing the highest level of pharmaceutical expertise and...

  • Clinical Dietitian

    3 weeks ago

    Bismarck, United States Catholic Health Initiatives Full time

    Overview Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinical Dietitian

    3 weeks ago

    Bismarck, United States Catholic Health Initiatives Full time

    **Overview** Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinical Dietitian

    3 weeks ago

    Bismarck, United States Chi Full time

    Overview Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinical Pharmacy Specialist

    2 weeks ago

    Bismarck, North Dakota, United States Unavailable Full time

    Position OverviewSince its inception, CHI St. Alexius Health has been committed to providing exceptional healthcare services, enhancing the lives of patients through superior care. We aim to uphold our legacy of excellence and innovation by welcoming individuals who are passionate about delivering top-tier expertise and quality.As a prominent regional health...

  • Family Clinical Advocate

    1 month ago

    Bismarck, United States Sharecare, Inc. Full time

    Job Description: Sharecare is the leading digital health company that helps people – no matter where they are in their health journey –​ unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities...

  • Clinical Nutrition Specialist

    5 days ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    **Job Summary**Catholic Health Initiatives is seeking a highly motivated and experienced Clinical Dietitian to join our team. As a Clinical Dietitian, you will play a critical role in assessing the nutritional status of patients and developing personalized nutrition plans to improve disease management and overall health outcomes.**Responsibilities**•...

  • Surgical Clinic Registered Nurse

    2 weeks ago

    Bismarck, North Dakota, United States Unavailable Full time

    Position OverviewCHI St. Alexius Health has been a cornerstone of healthcare since 1885, committed to enhancing the lives of patients through exceptional care. We are focused on maintaining our legacy of excellence and innovation with professionals who are passionate about delivering top-tier expertise and quality services.As a prominent regional health...

  • Clinic LPN

    1 month ago

    Bismarck, United States Chi Full time

    Overview Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinic RN Health Coach

    2 months ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    OverviewSince 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Clinic RN Health Coach

    2 months ago

    Bismarck, United States Chi Full time

    Overview Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...

  • Surgery Clinic Registered Nurse

    2 weeks ago

    Bismarck, North Dakota, United States Unavailable Full time

    OverviewCHI St. Alexius Health has been a cornerstone of healthcare since 1885, committed to enhancing the lives of patients through exceptional care. We are looking for dedicated professionals who share our vision of delivering top-tier expertise and quality in healthcare.As a regional health network, CHI St. Alexius Health operates a tertiary hospital in...

  • Clinical Outpatient Pharmacist

    2 weeks ago

    Bismarck, North Dakota, United States Catholic Health Initiatives Full time

    OverviewSince its inception, Catholic Health Initiatives has been committed to enhancing health care in the community by improving the lives of patients through exceptional service. We strive to uphold our legacy of excellence and innovation with professionals dedicated to providing top-tier expertise and quality care.Catholic Health Initiatives operates a...

  • Clinic RN

    32 minutes ago

    Bismarck, United States Chi Full time

    Overview Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and...