CLINICAL DOC IMPROVEMENT SPECIALIST

Aspirus, Inc; Wausau (WI); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Clinical Doc Improvement Specialist, where your expertise will enhance patient care through accurate documentation. This role offers the opportunity to work remotely while collaborating with a dedicated team to ensure the highest quality of care. With extensive training and a supportive environment, you will play a crucial role in improving clinical documentation practices that directly impact patient outcomes. Be part of a mission-driven organization that values compassion, accountability, and collaboration in every aspect of its operations.

Benefits

Full benefits packages

PTO accrual from day one

Generous retirement plan with match

Wellness program for employees and families

Qualifications

• Minimum of two years' acute care hospital experience required.
• Experience in critical care or surgical nursing is beneficial.

Responsibilities

• Communicate with healthcare team regarding medical record documentation.
• Conduct in-depth chart reviews to clarify documentation.

Skills

Clinical Documentation Improvement

ICD Code Assignment

DRG Assignment

Critical Care Nursing

Chart Reviews

Education

Registered Nurse License

Job description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values every. Single. Day.

Aspirus Wausau is seeking a CLINICAL DOC IMPROVEMENT SPECIALIST to join our CLINICAL DOCUMENTATION team!

The Clinical Doc Improvement Specialist will communicate with the healthcare team regarding missing, unclear, or conflicting medical record documentation in an effort to clarify and obtain the documentation that will support the appropriate severity of illness, expected risk of mortality, and complexity of care.

The ideal candidate would have robust hospital direct patient care experience to understand disease processes and diagnostic and symptomology of diagnoses. It would also be ideal if the candidate has awareness of CDI, understanding DRGs, coding guidelines, and the significant impact on our quality metrics. This is accomplished through in-depth chart reviews throughout the day.

Training is extensive, including modules (up to 40 hours) to be completed followed by a one-on-one session with a CDI trainer.

Hours:

Full Time; 1.0 FTE or 80 hours per pay period. Day shift. Fully remote.

Experience/Qualifications:

• Minimum of two years' acute care hospital experience.
• Experience in critical care, general medical and/or surgical nursing, and experience in educational presentations is beneficial.
• Previous experience with criteria-based chart reviews such as case management, utilization management, managed care, or quality improvement.
• Clinical documentation improvement experience with knowledge and/or experience related to ICD code assignment and DRG assignment is preferred.

Employee Benefits:

• Full benefits packages available for part- and full-time status.
• PTO accrual from day one!
• Generous retirement plan with match available.
• Wellness program for employees and their families.

Aspirus Wausau Hospital, serving northeastern Minnesota, northern and central Wisconsin, and Michigan’s Upper Peninsula, provides primary, secondary, and tertiary care services as a regional referral center. Known for its world-class cardiovascular program, it also offers leading-edge cancer, trauma, women’s health, and spine and neurological care. The hospital has an inpatient census of approximately 160, with over 15,000 admissions annually, and more than 50,000 outpatient visits and 24,000 emergency department visits yearly. To learn more about Wausau, click here.

Our Mission: We heal people, promote health, and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team member, we demonstrate caring, plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference, and improve community health.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin, and the Upper Peninsula of Michigan. Operating 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 physicians and advanced practice clinicians. For more information, visit aspirus.org.

Click here to learn more.

Credentials:

Essential:

• Registered Nurse License