Clinical Documentation Integrity Specialist I

Role Overview

• Reviews 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
• Initiates medical record review within 24 to 48 hours of admission
• Monitors, systematically, the targeted medical records within at least 48 hours unless otherwise indicated to determine compliance to established documentation standards
• Conducts follow-up reviews to ensure points of clarification have been addressed/documented in the medical record

Requirements

• Bachelor’s degree in Nursing, Medicine, Health Information Management or similarly related field of study or equivalent combination of education and experience
• Five (5) years of progressively responsible and directly related inpatient clinical experience
• 0 – 2 years of CDI related work experience ICU/ED and Academic Medical Center experience preferred
• Case management, utilization review and/or direct provider interaction experience, preferred

Benefits

• Health insurance
• 401(k)
• Paid time off
• Flexible working hours