Clinical Documentation Improvement Specialist
2 days ago
About Jefferson Health:
We are a leading health system in the Philadelphia and Lehigh Valley areas, serving millions of patients through 32 hospitals campuses and over 700 outpatient and urgent care locations.
The RoleWe are seeking an experienced Clinical Documentation Improvement (CDI) Specialist to join our team. In this role, you will work closely with physicians, coders, and other healthcare professionals to ensure accurate and complete medical record documentation.
Key Responsibilities:
- Review medical records for completeness and accuracy of diagnostic and procedural information
- Identify opportunities for improvement and place queries or communicate with physicians and other healthcare professionals
- Work closely with coding staff to ensure accurate discharge diagnoses and co-morbidities
- Provide education and training to physicians, nurse practitioners, and physician assistants on correct coding and regulatory compliance
- Maintain productivity expectations and accurately record activity in CDI software tracking tool
To be successful in this role, you will need:
- A Bachelor of Science in Nursing, Health Information Management, or related field
- 5 years of experience in critical care/emergency medicine or medical surgical experience
- 2-3 years of CDI experience or 5 years of coding experience
- CCDS or CDIP certification preferred
This is a full-time position with a competitive salary range of $80,000 - $110,000 per year, depending on experience. We also offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
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