Clinical Documentation Improvement I

Infirmary Health•Mobile, AL

About The Position

This entry-level position supports the improvement of clinical documentation quality and completeness in alignment with Infirmary Health (IH) guidelines. The role contributes to accurate inpatient coding and appropriate Diagnosis-Related Group (DRG) assignment by promoting thorough and timely documentation. The position also plays a role in enhancing patient outcomes through improved data capture and communication.

Requirements

  • Graduation from an accredited RN program with recent hospital experience OR Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT).
  • Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement.
  • Proficiency in data analysis and spreadsheet software.
  • Strong leadership and interpersonal skills.
  • Excellent written and verbal communication skills.
  • Current Alabama RN license OR Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama OR Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT).
  • Infirmary Health abides by the NLC requirements and guidelines for the state of Alabama.

Responsibilities

  • Supports the improvement of clinical documentation quality and completeness in alignment with Infirmary Health (IH) guidelines.
  • Contributes to accurate inpatient coding and appropriate Diagnosis-Related Group (DRG) assignment by promoting thorough and timely documentation.
  • Enhances patient outcomes through improved data capture and communication.
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