[Hiring] Clinical Documentation Improvement Specialist @R1 RCM

Role Description

As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records.

• Evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation.
• Conduct focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, and other identified projects.
• Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient.
• Participate in ongoing documentation improvement initiatives, including formal and informal education plans related to clinical documentation improvement to providers and the CDI team.

Qualifications

• Highly skilled in CDI practices, coding, and documentation requirements related to quality outcomes.
• Self-motivated to stay abreast of CMS rules and regulations and incorporate those changes into daily practice.
• Front Line CDI experience in an acute care hospital.
• Active RN license with experience in ICU, Med surge, telemetry, or ED.

Requirements

• Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred).
• An active US RN license is required.
• Must have front line CDI experience in an acute care hospital.
• Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and/or emergency department.
• Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms.

Benefits

• Base pay range is $52,025.00 - $97,528.69 per year.
• Eligible to participate in our annual bonus plan at a target of 5.00%.
• Competitive benefits package.