Responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation
Confer with the appropriate caregiver on the additional documentation that may be required
Achieve a complete medical record by the time of patient discharge
Follow Joint Commission, Medicare and third party payor documentation guidelines
Provide assistance to the attending physician and other health care providers in the patient care documentation process

Bachelor's degree in Nursing
Registered Nurse
2 years of relevant experience required
2-4 years of relevant experience in acute care medical or surgical experience preferred
Intensive Care Unit preferred
A Bachelor's degree in Health Information Management with credentials of RHIA, RHIT, CCS, CCDS, or CDIP with clinical knowledge
2 years of relevant experience in inpatient coding/CDI will be considered in lieu of an RN
Current Registered Nurse License in the State of practice
Or Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) could be considered

Clinical Documentation Improvement Analyst, Level 2

About this role