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Clinical Documentation Improvement Specialist
Santa Barbara Cottage Hospital
- Saint Paul, Illinois, United States
- Saint Paul, Illinois, United States
Über
Responsibilities Reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician\'s clinical documentation. This work involves extensive record review and interaction with physicians, HIM/Coding professionals, nursing staff, and case management. Through collaboration with Coding professionals, educates the patient care team on changes in documentation guidelines and/or documentation deficiencies noted. The patient care team includes but is not limited to: attending physicians, consultants, physician extenders, allied health practitioners, nursing, and case management. The Specialist reports to the Clinical Documentation Improvement Director.
Qualifications Education
Associate’s Degree in nursing, Health Information Management or a related field Required
Bachelor’s Degree Bachelor’s degree Preferred
Work Experience
5 years of recent hospital experience/practice, preferably in an ICU, CCU or complex Med/Surg environment Required
Previous clinical documentation improvement experience, utilization management, precertification, coding, Medicare regulations, quality assurance, or related area Preferred
Prior experience with Epic Preferred
Licenses and Certifications
Must have one of the following: Upon Hire Required
RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or
CCS-Certified Coding Specialist Required or
RHIT - Registered Health Information Technician Required or
RHIA - Registered Health Information Administrator Required or
CCDS - Certified Cardiac Device Specialist Required
Business Unit Piedmont Healthcare Corporate
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Sprachkenntnisse
- English
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