Indiana Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist - CDI.

Key Responsibilities:

• Perform daily review of clinical documentation and interact with physicians and providers to ensure completeness and accuracy
• Analyze and evaluate documentation to ensure it reflects appropriate levels of care and supports quality measures
• Collaborate with clinical teams to identify documentation gaps and implement improvement strategies

Qualifications & Requirements:

• Associate's Degree required; Bachelor's Degree preferred
• 0-3 years of relevant experience in clinical documentation, coding, or related fields
• Active Registered Nurse (RN) license in Indiana or Nurse Licensure Compact (NLC) RN license, or RHIA/RHIT and/or CCS certification
• CCDS and/or CDIP credential preferred; obtain within 4 years of hire
• Working knowledge of computers and software applications such as Microsoft Office Suite and Cerner EMR