Community Health Systems RN Clinical Documentation Specialist-HIM-FT in Jackson, Mississippi
The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at Merit Health facilities and to ensure that coded diagnoses are an accurate reflection of the patient's clinical status and care. The role of the CDI Specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate ad complete documentation in the health record.
Bachelor's degree in nursing, RN, or comparable clinical degree is required.
Current Mississippi RN licensure is required.
BLS certification is required.
RHIT, RHIA, CDIP, CCDS, CCS and/or ICD-10 certification is strongly preferred.
Must possess at least five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care).
Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding strongly preferred. ICU/Critical Care experience strongly desired.
Prior experience in clinical documentation improvement, ICD coding and MS-DRGs preferred.
Prior experience educating physicians/providers preferred.
Previous experience working in a clinical documentation improvement department or as a consultant strongly encouraged.
Minimum of one-year auditing experience strongly encouraged.
This position requires a comprehensive knowledge of medical terminology, disease processes and clinical competency.
Candidate must possess excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge is necessary. Prioritization and organizational skills required.
Job: Health Information Management Services
Organization: Merit Health Central
Requisition ID: 1733382