Clinical Documentation Specialist: CDI & Revenue Optimization

Catawba Valley Health System; North Carolina; On-site; USD 85,000 - 115,000; Full time

Job summary

Catawba Valley Medical Center is seeking a Clinical Documentation Improvement professional to analyze and audit medical records for accuracy, completeness, and regulatory compliance. You will collaborate with providers to improve documentation and maximize value-based reimbursement.

The role requires five years of direct clinical nursing experience, a nursing license, and a nursing certification in coding or plan to obtain within four years.

Qualifications

• Graduate of accredited nursing program.
• Current NC RN license or licensure from Nursing Compact State.
• Bachelor’s degree in Nursing.
• Professional Certification in Medical Coding required or obtained within four years of employment.

Responsibilities

• Analyze and audit medical records concurrently to ensure clinical information is specific, accurate, complete and compliant.
• Communicate need for improved documentation to providers to assure appropriate reimbursement and adherence to guidelines.

Skills

Clinical documentation

Auditing

Provider communication

Reimbursement knowledge

Education

Bachelor’s degree in Nursing

Graduate of accredited nursing program

Current NC RN license or NCS licensure via Nursing Compact

Professional Certification in Medical Coding

Job description

Catawba Valley Medical Center is seeking a Clinical Documentation Improvement professional to analyze and audit medical records for accuracy, completeness, and regulatory compliance. You will collaborate with providers to improve documentation and maximize value-based reimbursement.

The role requires five years of direct clinical nursing experience, a nursing license, and a nursing certification in coding or plan to obtain within four years.