Facility CDI Specialist

BHS • Kentucky - Work from Home, KY

2d • Remote

About The Position

Baptist Health is seeking a Clinical Documentation Specialist to join its team. This is a remote position requiring residence in Kentucky or Indiana. The specialist evaluates physician documentation using clinical expertise to ensure patients’ severity of illness is accurately represented in the medical record, supporting coding specificity and accuracy. The role also provides guidance to physicians, nursing staff, and ancillary staff on clinical documentation best practices. The candidate should be self-motivated and adaptable to change.

Requirements

• Registered Nurse with an active Kentucky license.
• Bachelor’s degree preferred and 3 years of acute health care nursing experience, including 1 year of clinical documentation experience; alternatively, an Associate’s degree in Nursing and 5 years of acute health care nursing experience.
• Knowledge of medical record organization.
• Knowledge of medical terminology.
• Ability to complete assignments in a timely manner despite fluctuations in workflow.
• Strong interpersonal, communication, and listening skills.
• Knowledge of e-mail, Word, Excel, data entry and data retrieval systems, Encoder, and the internet.
• Self-motivated and adaptable to change.

Nice To Haves

• ACDIS Credential (CCDS) or Certified Documentation Improvement Professional (CDIP) is strongly encouraged.
• Bachelor’s degree preferred.

Responsibilities

• Evaluate physician documentation using clinical expertise.
• Ensure patients’ severity of illness is accurately portrayed in the medical record to support coding specificity and accuracy.
• Guide physicians, nursing staff, and ancillary staff on clinical documentation best practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree