Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a CDI Specialist to implement processes related to clinical documentation improvement in an inpatient setting.

Key Responsibilities

• Review inpatient clinical records within 24-48 hours of admission to identify documentation gaps
• Communicate with providers to clarify documentation requirements and provide feedback on improvement opportunities
• Utilize CDI software to document clarification activities and engage with HIM Coding Professionals

Required Qualifications

• CCDS or CDIP certification, or ability to obtain within 6 months of employment
• 7+ years of acute care hospital clinical RN experience or 2+ years as a Clinical Documentation Improvement Specialist
• 1+ years of CDI experience
• Proficiency in using a PC in a Windows environment, including Microsoft Office and Electronic Medical Records
• Ability to work daytime PST hours