Clinical Documentation Improvement Specialist

Piedmont Healthcare • Atlanta, GA

11h

About The Position

Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. Responsibilities Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation. This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management. Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted. The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management. The Specialist reports to the Clinical Documentation Improvement Director.

Requirements

• Associate’s Degree in nursing, Health Information Management or a related field Required
• 5 years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment Required
• Must have one of the following: Upon Hire Required RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or CCS-Certified Coding Specialist Required or RHIT - Registered Health Information Technician Required or RHIA - Registered Health Information Administrator Required or CCDS - Certified Cardiac Device Specialist Required

Nice To Haves

• Bachelor’s Degree Bachelor’s degree Preferred
• Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area Preferred
• Prior experience with Epic Preferred

Responsibilities

• Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation.
• This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management.
• Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted.
• The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management.
• The Specialist reports to the Clinical Documentation Improvement Director.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees