RN Clinical Documentation Integrity Specialist
About The Position
POSITION SUMMARY: The Clinical Documentation Integrity Specialist is a resource for improving the overall quality, integrity and completeness of clinical documentation within the medical record. The position will facilitate the completion of documentation by physicians, allied health professionals, nurses and other patient care givers that accurately reflect the severity of illness, risk of mortality and treatment provided. The CDI specialist conducts concurrent review of medical records to ensure that documentation supports accurate diagnostic and procedural coding and DRG assignment while adhering to documentation guidelines provided by regulatory bodies. This position may require an adjusted work schedule, including weekends with alternate days off, to provide operational coverage.
Requirements
- BSN is required within 6 years of hire
- 2 years clinical experience in a hospital setting
- Licensure/Certifications: Registered Nurse in current state (IL)
- Demonstrates excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication skills.
Nice To Haves
- BSN
Responsibilities
- Improving the overall quality, integrity and completeness of clinical documentation within the medical record.
- Facilitate the completion of documentation by physicians, allied health professionals, nurses and other patient care givers that accurately reflect the severity of illness, risk of mortality and treatment provided.
- Conducts concurrent review of medical records to ensure that documentation supports accurate diagnostic and procedural coding and DRG assignment while adhering to documentation guidelines provided by regulatory bodies.
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What This Job Offers
Job Type
Full-time
