Clinical Documentation Improvement Specialist
4 weeks ago
Job Description
The Clinical Documentation Improvement Specialist (CDIS) is a nurse or other clinically qualified individual who is responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation. Opportunities include identification of cases where diagnoses and procedures are either absent, not stated in appropriate terminology, or are not appropriately recorded. The CDIS will confer with the appropriate caregiver on the additional documentation that may be required. The Documentation Specialist's goal is to achieve a complete medical record by the time of patient discharge in order to ensure quality documentation that reflect the patients diagnoses, treatments, and severity of illness, and to facilitate and enhance the coding and DRG assignment process.
Position Summary
This position supports initiatives to improve the quality of documentation by all caregivers within the Ohio State University Health System with specific emphasis on improving documentation to support the coding process which ultimately improves the organizations performance on quality measures and on the Case Mix Index (CMI) which is critical to the financial health of the organization. The CDIS follows Joint Commission (JC), Medicare and third party payor documentation guidelines and the official guidelines for assigning ICD-9-CM diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation. The CDIS provides assistance to the attending physician and other health care providers in the patient care documentation process.
Minimum Qualification Required:
Bachelor's degree in Nursing. Registered Nurse. 2 years of relevant experience required. 2-4 years of relevant experience preferred in acute care medical or surgical experience required. Intensive Care Unit preferred.
A Bachelors degree in Health Information Management with credentials of RHIA, RHIT, CCS, CCDS, or CDIP with clinical knowledge. 2 years of relevant experience required. 2-4 years of relevant experience in inpatient coding/CDI will be considered in lieu of an RN.
Certification and Licensing Required:
Current Registered Nurse License in the State of practice.
Or
Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) could be considered.
Regular 40 First Shift
-
Staten Island, NY, United States Clinical Management Consultants Full timeAre you an experienced and driven RN or healthcare professional looking for an exciting leadership CDI opportunity? This New York Hospital is seeking a highly qualified Manager of Clinical Documentation Improvement (CDI) to join our dynamic team. As the Manager of CDI, you will play a vital role in optimizing patient care, revenue integrity, and compliance...
-
Staten Island, NY, United States Clinical Management Consultants Full timeAre you an experienced and driven RN or healthcare professional looking for an exciting leadership CDI opportunity? This New York Hospital is seeking a highly qualified Manager of Clinical Documentation Improvement (CDI) to join our dynamic team. As the Manager of CDI, you will play a vital role in optimizing patient care, revenue integrity, and compliance...
-
Clinical Document Improve Specialist RN
1 month ago
Jacksonville, FL, United States Saint Vincent's Medical Center Riverside Full timeClinical Document Improve Specialist RNDetails * Department: Total Quality Management * Schedule: Full-Time; Days; Monday - Friday 8am-4:30pm * Hospital: Ascension St. Vincents Riverside * Location: Jacksonville, Florida * CDI experience Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer...
-
Clinical Documentation Improvement Specialist
3 months ago
Chicago, IL, United States Navient Full timeAbout Xtend HealthcareXtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a...
-
Clinical Documentation Improvement Specialist
1 month ago
Chicago, IL, United States Navient Full timeAbout Xtend Healthcare Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a...
-
, CA, United States TotalMed Staffing Full timeAbout the RoleTotalMed Staffing is seeking a highly skilled Clinical Document Improvement Specialist to join our team as a travel nurse RN.Key ResponsibilitiesSpecialize in clinical document improvement to enhance patient care and outcomes.Collaborate with healthcare professionals to identify areas for improvement in clinical documentation.Develop and...
-
Berlin, MD, United States Clinical Management Consultants Full timeA fantastic career opportunity for a Clinical Documentation Improvement Assistant Director is now available at the patient-centered hospital in Southern Delaware. This hospital is a healthcare leader in the Mid-Atlantic Regina and Delaware. Their recent accolades include being ranked as a high-performing" hospital in 8 specialties. They are most...
-
Clinical Documentation Improvement Manager
8 hours ago
, NC, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled Clinical Documentation Improvement Manager to join our team at UNC Health. As a key member of our Health Information Services Department, you will be responsible for managing clinical documentation functions and overseeing administrative responsibilities for staff.Key ResponsibilitiesManage clinical documentation...
-
Clinical Documentation Specialist
2 months ago
Kennewick, WA, United States Trios Health Full timeJob DescriptionClinical Documentation Specialist coordinates and collaborates extensively with the physicians and coding staff to improve quality and completeness of documentation of care provided; Facilitates modifications to clinical documentation. Captures clinical severity which is later translated into coded data to support the level of service rendered...
-
Clinical Documentation Specialist
2 months ago
Kennewick, WA, United States Trios Health Full timeClinical Documentation Specialist coordinates and collaborates extensively with the physicians and coding staff to improve quality and completeness of documentation of care provided; Facilitates modifications to clinical documentation. Captures clinical severity which is later translated into coded data to support the level of service rendered to relevant...
-
Clinical Documentation Specialist
4 weeks ago
Kennewick, WA, United States Trios Health Full timeClinical Documentation Specialist coordinates and collaborates extensively with the physicians and coding staff to improve quality and completeness of documentation of care provided; Facilitates modifications to clinical documentation. Captures clinical severity which is later translated into coded data to support the level of service rendered to relevant...
-
Clinical Documentation Specialist RN
3 months ago
Naples, FL, United States Physicians Regional - Pine Ridge Full timeClinical Documentation Specialist RNJob Description This position is 100% onsite, to allow for better communication and coordination with our staff and providers. The Clinical Documentation Specialist (CDS) performs clinical documentation improvement activities in an effort to support accuracy and quality of the patient records and to ensure that coded...
-
Clinical Document Improve Specialist RN
6 days ago
Jacksonville, FL, United States Ascension Full timeDetails Department: Total Quality ManagementSchedule: Full-Time; Days; Monday - Friday 8am-4:30pmHospital: Ascension St. Vincents RiversideLocation: Jacksonville, FloridaCDI experience 5 or more years experience in Med Surg/ ICU Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match...
-
Travel Nurse RN
1 month ago
Pomona, CA, United States Tact Staff Full timeTact Staff is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Pomona, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 08/27/2024Duration: 13 weeks36 hours per weekShift: 12 hoursEmployment Type: TravelRole: CDI Specialist ***Locals preferred...
-
Clinical Documentation Improvement Specialist
2 months ago
San Luis Obispo, CA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Manager, Inpatient Coding
3 months ago
Columbus, OH, United States The Ohio State University Wexner Medical Center Full timeHYBRID ROLEScope of PositionThe Manager of Inpatient Coding & Clinical Documentation Integrity Services is responsible for managing systems and operations for efficient coding of inpatient medical record information from University Hospital. East Hospital, Brain and Spine Hospital, James Hospital, Ross Heart Hospital, Harding Hospital, Talbot Hall, and Dodd...
-
Travel Nurse RN
2 months ago
Phoenix, AZ, United States TotalMed Staffing Full timeTotalMed Staffing is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Phoenix, Arizona.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: ASAPDuration: 26 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a CDI-Registered Nurse...
-
Travel Nurse RN
2 months ago
Pomona, CA, United States TotalMed Staffing Full timeTotalMed Staffing is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Pomona, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: 08/01/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a...
-
Travel Nurse RN
1 month ago
Pomona, CA, United States TotalMed Staffing Full timeTotalMed Staffing is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Pomona, California.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a CDI-Registered...
-
Clinical Support Specialist
2 weeks ago
Columbus, Ohio, United States OBGYN Specialist of Columbus Full timeJob OverviewWe are seeking a dedicated Clinical Support Specialist to join our team at OBGYN Specialist of Columbus. This role is essential in providing support to our healthcare providers and ensuring a smooth patient experience.Key Responsibilities Report directly to the clinical coordinator or practice administrator. Assist healthcare professionals in...
