CDI Specialist (RN): Elevate Clinical Documentation

ScionHealth; Columbus (GA); Sur place; USD 70 000 - 95 000; Plein temps

Résumé du poste

St. Francis–Emory Healthcare, a 376-bed hospital in Columbus, GA, seeks a CDI Specialist to improve clinical documentation quality. You will work with physicians, nurses, coders, and other team members to ensure documentation reflects severity of illness and complexity of care.

Responsibilities include concurrent reviews, provider query management, and education on documentation regulations. You will support compliance and reimbursement through accurate coding, audits, and performance

Qualifications

• In-depth understanding of clinical care delivery, coding systems (ICD-10, MS-DRG), and documentation regulations.
• Excellent written and verbal communication skills.
• Ability to engage physicians and interdisciplinary teams in a collaborative, educational manner.
• Proficient in EMR systems and data analytics tools.
• Strong attention to detail, organizational skills, and independent judgment.
• Ability to manage multiple tasks and meet documentation timelines.

Responsabilités

• Perform concurrent reviews of inpatient records to identify opportunities for clarification, specificity, and documentation completeness.
• Initiate and follow up on provider queries in accordance with official coding and organizational standards.
• Abstract clinical data to support coding and DRG accuracy.
• Educate physicians and clinical staff on documentation best practices and regulatory requirements.
• Review documentation for Present on Admission (POA), Hospital-Acquired Conditions (HACs), and other quality indicators.
• Collaborate with case management, quality, compliance, and HIM teams to support clinical accuracy and financial integrity.
• Analyze and report trends related to documentation improvement opportunities and query response rates.
• Maintain current knowledge of CMS regulations, IPPS, AHA Coding Clinics, and industry guidelines.
• Assist with documentation audits and performance improvement initiatives.
• Present educational sessions to providers and staff on clinical documentation topics.
• Uphold ethical, legal, and regulatory standards related to patient privacy and coding practices.

Connaissances

Clinical care delivery

ICD-10/MS-DRG coding

Documentation regulations

Written and verbal communication

EMR systems

Data analytics tools

Attention to detail

Task management

Formation

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing

Master’s Degree in Nursing

Description du poste

St. Francis–Emory Healthcare, a 376-bed hospital in Columbus, GA, seeks a CDI Specialist to improve clinical documentation quality. You will work with physicians, nurses, coders, and other team members to ensure documentation reflects severity of illness and complexity of care.

Responsibilities include concurrent reviews, provider query management, and education on documentation regulations. You will support compliance and reimbursement through accurate coding, audits, and performance