Clinical Documentation Specialist Lead

6 days ago


Iowa City, Iowa, United States University of Iowa Hospitals & Clinics Full time
Job Summary:

We are seeking a highly skilled Clinical Documentation Specialist to join our team at the University of Iowa Hospitals & Clinics. As a key member of our Clinical Documentation Improvement (CDI) program, you will play a critical role in ensuring accurate and complete clinical documentation.

About the Job:
  • Develop and implement education programs for CDI specialists and patient care teams to improve clinical documentation quality and efficiency.
  • Lead provider education opportunities, including resident and new provider orientation, to promote best practices in clinical documentation.
  • Collaborate with Health Information Management (HIM), CDI specialists, and Quality Improvement Program (QuIP) to identify and develop education on patient safety indicators, hospital-acquired conditions, and other quality-driven measures.
  • Conduct second-level CDI reviews to ensure accurate documentation and capture of points of clarification.
  • Maintain super-user level responsibility for vendor and software applications used by CDI, QuIP, and HIM.
Required Skills and Qualifications:
  • Bachelor's degree in Nursing or Master's degree in Nursing, or equivalent combination of education and experience.
  • License to practice nursing in Iowa.
  • Minimum 2 years of recent work experience as a Clinical Documentation Improvement Specialist with at least 5 years of med/surg clinical experience at an academic medical center.
  • Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting.
  • Strong understanding of clinical coding and billing requirements according to Medicare, Medicaid, and commercial payers.
  • Demonstrated competency in teaching, learning process, organizational skills, and computer literacy.
Benefits:
  • Fringe benefit package including paid vacation, sick leave, health, dental, life, and disability insurance options.
  • Generous employer contributions into retirement plans.
About the Company:

The University of Iowa Hospitals & Clinics is recognized as one of the best hospitals in the United States and is Iowa's only comprehensive academic medical center and regional referral center.



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