Rn - Clinical Documentation Improvement Specialist

Baptist Health

Montgomery, Alabama, United States
Active rn license required
Bachelor's degree in nursing preferred
Minimum 2 years hospital clinical experience
The specialist is responsible for facilitating integrity in the overall quality and completeness of provider-based clinical documentation in the medical record

Job Summary

  • The specialist is responsible for facilitating integrity in the overall quality and completeness of provider-based clinical documentation in the medical record.
  • The role involves assessing clinical documentation through extensive review and interacting with physicians to ensure appropriate reimbursement and accurate outcome reporting.
  • Candidates must possess advanced computer skills to maintain databases and develop reporting tools while ensuring compliance with accrediting agency standards.

Matching Summary

The specialist is responsible for facilitating integrity in the overall quality and completeness of provider-based clinical documentation in the medical record.

Skills & Requirements

Must-have

  • Active RN license required
  • Bachelor's degree in Nursing preferred
  • Minimum 2 years hospital clinical experience
  • Proficient in Microsoft Word and Excel
  • Knowledge of ICD and DRG assignment

Nice-to-have

  • Certified Clinical Documentation Specialist certification
  • Experience with DRGs and reimbursement methodologies
  • Regulatory survey coordination experience
  • Project management and group facilitation skills
  • Process improvement methodology knowledge

Key Requirements

  • Active RN license
  • CCDS certification or obtained within 3 years
  • Bachelor's degree in Nursing preferred
  • 2 years hospital clinical experience
  • Knowledge of ICD and reimbursement methodologies

Work Rights

Not specified

Tailored Resume

Cover Letter