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Clinical Documentation Specialist
2 months ago
ChristianaCare is seeking a skilled Clinical Documentation Specialist to support the improvement of inpatient clinical documentation quality, accuracy, and completeness.
Key Responsibilities:- Collaborate with program leadership to develop and implement clinical documentation education programs for CDI specialists and clinicians.
- Track, trend, and audit CDI queries to ensure quality and compliance using an auditing tool.
- Orient new clinicians and CDI specialists.
- Create documentation education materials, including clinician-level scorecards, documentation checklists, and reference materials.
- Participate in weekly huddle education with the coding department.
- 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.
Limited patient contact, normal office environment, possible remote work opportunities.
ChristianaCare is an organization that puts patients first, delivering care and commitment to excellence today and tomorrow.
We offer a range of benefits, including holiday pay, guaranteed hours, continuing education, and more.
