Job Description
The Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation within the electronic health record. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing, other patient caregivers, and coding staff. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Works closely with coding to assist and/or coordinate in resolving documentation and coding discrepancies. Provides documentation training to clinicians and provides ongoing support. Ensures that documentation practices and processes comply with applicable regulatory guidelines and requirements. Participates in special projects when necessary.
Must have 5 years of full time RN experience in ICU/CCU/Med Surg exp. No exceptions. UPH Cover letter (see attachments) must be included with Resume. EPIC experience required.
Preferred Qualifications:
CCDS or CDIP upon hire plus 2 years of clinical documentation improvement experience
- UPH Cover Letter
- What year did you graduate with your Registered Nursing degree?
- What date did you get your Registered Nurse license?
- How many years (as a fully licensed RN - training does not apply) of full time direct bedside patient care experience do you have in the following areas?
- Adult ICU
- Adult CCU
- Adult Med Surg
- How many years of full time experience do you have as a CDI specialist in each of
- the following areas?
- Inpatient
- Hospital Outpatient
- Professional
CDI
Systems - 3M CDICDI - Skill - Written Query SkillsCDI - Skill - Communication Skills
CDI - Setting - Remote Experience
Pay: $51.00 per hour
Work Location: Remote
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