[Hiring] Clinical Documentation Specialist @Omega

Role Description

• Manages assignments and projects as assigned.
• Participates in the daily operations and activities of the Clinical Documentation Improvement (CDI) program to continually enhance documentation.
• Utilizes most current documentation tools available.
• Regularly and effectively communicates with clinical staff.
• Collaborates with coding in an effort to maintain coding and documentation quality and compliance. Ensures that coding process and guidelines meet State and Federal requirements and standards.
• Works with the medical staff to continuously improve clinical documentation to facilitate accurate coding through the use of compliant physician queries, when appropriate.
• Facilitates communication of various professionals to support organizational goals related to documentation integrity, compliance, quality and coding.
• Assists in development and delivery of education for both clinical and non-clinical staff.
• Meets performance standards by setting goals and objectives, prioritizing work, and using available resources efficiently and effectively.
• Stays abreast of the latest developments, advancements, and trends in the field of documentation improvement and coding by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Participates in the training of new employees as needed.
• Ensures that work is completed accurately and according to schedule.

Qualifications

• Current registered nurse (RN) license with a Bachelor's Degree in Nursing plus 2 years of experience in acute care, health care administration or commensurate experience.
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) credential must be obtained within one year of hire.
• Experience with ICD-10-CM/PCS coding and DRG assignment.
• Outstanding oral, written and interpersonal skills.
• Demonstrated knowledge and clinical experience relevant to clinical and regulatory aspects of care and reimbursement.

Preferred Qualifications

• CCDS or CDIP upon hire plus 2 years of clinical documentation improvement experience.