Clinical Documentation Specialist RN
2 months ago
Shaker for ChristianaCare Direct is seeking a skilled Clinical Documentation Specialist RN to support the documentation process and improve the quality of clinical documentation.
About the Role:This is a hybrid position that requires remote and onsite work. The successful candidate will work closely with clinicians and CDI staff to ensure accurate and complete documentation.
Key Responsibilities:- Develop and implement clinical documentation education programs for CDI specialists and clinicians.
- Track, trend, and audit CDI queries to ensure quality and compliance.
- Orient new clinicians and CDI specialists.
- Create documentation education materials, including clinician-level scorecards and documentation checklists.
- Collaborate with the coding department for weekly huddle education.
- Bachelor's degree in nursing.
- DE RN licensed or Compact Nursing License.
- Strong medical terminology and clinical awareness.
- Effective communication and clinical skills.
- Clinical Documentation Certification (CCDS) required within 1 year of eligibility.
- Minimum of 3 years CDI experience, with a focus on PSIs preferred.
- Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting preferred.
- Promotes a culture of continuous improvement and learning, self-motivated learner.
- Completes a minimum of 8 continuing education credits (CEU's) per year in Clinical Documentation Improvement.
This role requires limited patient contact and normal office environment. Possible remote work opportunities are available.
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