Clinical Documentation Improvement Specialist

Deborah Heart and Lung Center; Pemberton Township (NJ); On-site; USD 46,000 - 66,000; Full time

Benefits offered by this job

Healthcare coverage

401K matching

Tuition assistance

Short and long term disability

Life insurance

Meal discount

Dependent care subsidy

Adoption assistance

Free parking

Paid time-off

Job summary

Deborah Heart and Lung Center in New Jersey seeks an experienced CDI Nurse Reviewer to review inpatient records and promote complete, accurate documentation. The role requires strong communication with physicians, residents, fellows, and APPs, and close collaboration with coding staff.

Must have a NJ RN license; CDI certification is preferred. Proficiency in Meditech EMR and 3M CDIS is expected as the position involves coding support and documentation improvement efforts.

Qualifications

• RN licensure required in NJ.
• CDI Certification preferred.
• Minimum 5 years nursing experience in Med/Surg or Critical Care.
• Experience with DRG, ICD-10 and coding background preferred.

Responsibilities

• Review inpatient medical records to promote complete and accurate documentation.
• Perform CDI queries with physicians, residents, fellows, and APPs to clarify documentation in the patient record.
• Collaborate with coding staff and other hospital teams.
• Become proficient in Meditech EMR and 3M CDIS programming.

Skills

Excellent communication

Education

Bachelor’s in Nursing

Tools

Meditech EMR

3M CDIS

Job description

Deborah Heart and Lung Center in New Jersey seeks an experienced CDI Nurse Reviewer to review inpatient records and promote complete, accurate documentation. The role requires strong communication with physicians, residents, fellows, and APPs, and close collaboration with coding staff.

Must have a NJ RN license; CDI certification is preferred. Proficiency in Meditech EMR and 3M CDIS is expected as the position involves coding support and documentation improvement efforts.