Clinical Documentation Champion & Educator

Santa Barbara Cottage Hospital; United States; Remote; USD 75,000 - 110,000; Full time

Job summary

Santa Barbara Cottage Hospital seeks a Clinical Documentation Specialist to improve the quality and accuracy of patient records. This role functions as reviewer, educator and consultant to physicians and care teams to ensure documentation supports severity of illness and appropriate level of care.

The CDI Specialist will conduct concurrent reviews, educate providers on documentation best practices, and work within Trinity Health's documentation integrity procedures to support compliant health

Qualifications

• Associate/Diploma in HIT or advanced nursing degree (NP, APN) or Physician Assistant.
• If no college degree, minimum of 3 years' inpatient code or documentation specialist experience.
• Preferred certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP.

Responsibilities

• Direct efforts toward the integrity of clinical documentation as reviewer, educator and consultant.
• Facilitate quality, completeness and accuracy of medical record documentation through extensive record review.
• Communicate with physicians and healthcare team to educate on clinical documentation and monitor provider engagement.
• Conduct concurrent reviews of patient records to ensure legibility, clarity and precision of documentation.
• Formulate compliant clarifications/queries following documentation integrity procedures.

Skills

Communication skills

Interpersonal skills

Collaboration

Relationship building

Critical thinking

Prioritization

Organizational skills

Typing 30 wph

Education

Health Information Technology (HIT) Associate/Diploma

Advanced nursing degree (NP/APN)

Physician Assistant

Job description

Santa Barbara Cottage Hospital seeks a Clinical Documentation Specialist to improve the quality and accuracy of patient records. This role functions as reviewer, educator and consultant to physicians and care teams to ensure documentation supports severity of illness and appropriate level of care.

The CDI Specialist will conduct concurrent reviews, educate providers on documentation best practices, and work within Trinity Health's documentation integrity procedures to support compliant health