Facility CDI Specialist

Baptist Health; Charlestown (IN); Remote; USD 70,000 - 95,000; Full time

Job summary

Baptist Health is seeking a Clinical Documentation Specialist to evaluate physician documentation and ensure the severity of illness is accurately portrayed in the medical record to support precise coding. This remote role requires residency in KY or IN.

You will guide clinicians on documentation best practices and adapt to changing workloads while meeting deadlines. An active RN license in KY is required; a Bachelor’s degree is preferred or an Associate’s with substantial nursing experience.

Qualifications

• Active Registered Nurse license in Kentucky
• Bachelor's degree preferred with 3 years acute health care nursing (including 1 year in clinical documentation) or Associate's degree in Nursing with 5 years acute health care nursing
• ACDIS CCDS or CDIP strongly encouraged
• Knowledge of medical terminology and medical record organization

Education

Bachelor's degree

Associate's degree in Nursing

Tools

Email

Word

Excel

Job description

Summary

Job Description:

Baptist Health is looking for a Clinical Documentation Specialist to join our team. This is a remote position that requires residence in either KY or IN

The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. They provide guidance to the physicians, nursing and ancillary staff on clinical documentation best practices. They must be self-motivated and be adaptive to change.

Requirements

• Register Nurse with active Kentucky license
• Bachelor's degree preferred and 3 years acute health care nursing (including 1 year experience in clinical documentation), OR Associate's degree in Nursing with 5 years acute health care nursing . (Register Nurse with active Kentucky license)
• ACDIS Credential (CCDS) or Certified Documentation Improvement Professions (CDIP) strongly encouraged
• Knowledge of medical record organization
• Knowledge of medical terminology
• Ability to complete assignments in a timely manner despite fluctuations in workflow
• Strong interpersonal, communication and listening skills is required
• Knowledge of e-mail, Word, Excel, data entry and data retrieval systems, Encoder and internet

Baptist Health is an Equal Employment Opportunity employer.