Clinical Documentation Specialist

• 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
• Educate members of the patient care team regarding documentation guidelines and regulatory requirements, including attending physicians, allied health practitioners, nursing, and case management
• Support timely, accurate, and complete documentation of clinical information used for measuring and reporting hospital and physician-based outcomes
• Work independently majority of the time with a high degree of autonomy.

• Nursing Diploma or Associates Degree Required
• Current RN license in state of employment or valid RN license from compact state, required
• Three years of nursing experience in the inpatient hospital setting (critical care and/or strong med/surg experience preferred) or two years of nursing experience in the inpatient hospital setting and one year of CDI experience
• Must demonstrate Clinical competency through successfully passing Clinical Competency exam through Nuance
• Must demonstrate CDI software competency through passing Clintegrity exam within six months of starting role
• Proficiency with MS Office software
• Proficient in use of Electronic Health Record
• Self-motivated with excellent interpersonal, critical thinking, analytical, organizational, and writing skills
• Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

• BSN preferred
• CCDS, preferred
• CDIP, preferred
• Experience in health information management or hospital quality program preferred

Medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings