Clinical Documentation Improvement Specialist RN (CDIS)

Lifepoint Health • Galax, VA

6d • Onsite

About The Position

Twin County Regional Healthcare is part of Lifepoint Health, a diversified
healthcare delivery network with facilities coast to coast. We are driven by a
profound commitment to prioritize your well-being so you can provide exceptional
care to others. As a Clinical Documentation Improvement Specialist joining our
team, you’re embracing a vital mission dedicated to making communities healthier
®. Join us on this meaningful journey where your skills, compassion and
dedication will make a remarkable difference in the
lives of those we serve.

Our CDI team plays a strategic role in supporting quality outcomes, accurate
coding, and data integrity across the hospital. Clinical Documentation
Improvement Specialists collaborate directly with physicians and
interdisciplinary teams to ensure documentation reflects severity of illness,
risk of mortality, and the full scope of patient care.

Requirements

• Licensed Registered Nurse RN in state of Virginia (or compact state), RHIA, RHIT, or CCS certification.
• Minimum of 5 years experience in clinical role or 2 years in inpatient coding in an acute care facility is required.

Nice To Haves

• Prior experience in Case Management, CDI, and/or coding is preferred.
• Experience with ICD-10-CM, ICD-10-PCS and knowledge of CMS Inpatient Prospective Payment is preferred.

Responsibilities

• Facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation.
• Serves as local resource providing support, training, and continued education to all members of the health care team on documentation guidelines.
• Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers.
• Stays current with requirements of CMS Inpatient Prospective Payment Systems (IPPS), AHA Coding Clinic and Official Guidelines for Coding and Reporting related to ICD10.
• Performs charge audits monthly in order to satisfy the SOX audit process by analyzing patient records and comparing to patient bills.
• Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement by trending this information through the Chartwise system.

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed