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Clinical Documentation Improvement Specialist

2 months ago

Sparks, Nevada, United States Sierra Medical Center Full time
Job Summary

We are seeking a highly skilled Clinical Documentation Improvement Specialist to join our team at Sierra Medical Center. As a Clinical Documentation Improvement Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

Key Responsibilities
  • Conduct concurrent and retrospective reviews of inpatient medical records to evaluate the utilization and documentation of acute care services.
  • Facilitate appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality.
  • Collaborate with healthcare teams to identify and address documentation gaps and inconsistencies.
  • Develop and implement strategies to improve documentation quality and compliance with regulatory requirements.
  • Provide education and training to healthcare staff on documentation best practices and regulatory requirements.
Requirements
  • Associate's or Bachelor's Degree in Nursing Education or International Medical Graduate.
  • Minimum of five (5) years of clinical experience in an acute care setting; critical care, medical/surgical or Emergency Department nursing preferred.
  • Prefer CDIS Experience.
  • Current RN license in the State of Nevada.
What We Offer
  • Competitive compensation and benefits package.
  • Opportunities for professional growth and development.
  • Collaborative and supportive work environment.
  • Recognition and rewards for outstanding performance.
About Sierra Medical Center

Sierra Medical Center is a leading healthcare provider in the region, committed to delivering high-quality patient care and exceptional service. We are dedicated to creating a positive and supportive work environment that fosters growth and development for our employees.