CDI Specialist

Community Healthcare System; Münster (Hessen); Vor Ort; EUR 50.000 - 70.000; Vollzeit

Zusammenfassung

A healthcare provider in Münster is seeking a Clinical Documentation Specialist to enhance the quality of clinical documentation. The role requires a current RN license in Indiana and at least five years of acutely inpatient clinical experience. The candidate should possess strong clinical knowledge and effective communication skills to collaborate with a multidisciplinary team. This position emphasizes continuous learning and education of healthcare professionals on documentation best practices.

Qualifikationen

• Current RN license in the State of Indiana.
• Five years of acute inpatient clinical experience.
• Working knowledge of reimbursement systems preferred.

Aufgaben

• Uses clinical and coding knowledge to improve clinical documentation quality.
• Supports accurate medical record creation to determine service level.
• Educates physicians on documentation processes.

Kenntnisse

Excellent verbal and written communication skills

Strong broad-based clinical knowledge

Ability to work independently

Ausbildung

Bachelors of Science Degree in Nursing

Jobbeschreibung

Registered Nurse license in the State of Indiana preferred

The Clinical Documentation Specialist (CDS) uses clinical and coding knowledge of documentation requirements to improve overall quality and completeness of clinical documentation as well as relevant diagnoses, procedures and ancillary treatment using a multidisciplinary team process. A complete and accurate medical record will support the appropriate clinical severity to capture the level of service rendered to the patient. The CDS must be devoted to ongoing, continuous learning of clinical medicine; practical understanding of International Classification of Disease coding systems and have the ability to education physicians. Findings and data in the CDI review process shall be shared with the medical staff and multidisciplinary teams for education and solutions in operational excellent of clinical documentation improvement efforts.

To qualify you must have:

• Current RN license in the State of Indiana. Bachelors of Science Degree in Nursing preferred.
• Five (5) years of acute inpatient clinical experience. Critical Care and/or Case Management experience required.
• Working knowledge of reimbursement systems and coding structures preferred.
• Excellent verbal and written communication skills.
• Strong broad-based clinical knowledge and understanding of pathology/pathophysiology.
• Ability to work independently in a time-oriented environment.