Facility CDI Specialist

Baptist Health System KY & IN; Kentucky; Remote; USD 70,000 - 95,000; Full time

Job summary

Baptist Health System KY & IN is seeking a Clinical Documentation Specialist to evaluate physician documentation for accurate severity of illness and coding specificity. The role is remote with residence in KY or IN and requires a registered nurse with active Kentucky license and healthcare nursing experience.

The specialist guides physicians and staff on best practices, leveraging clinical expertise to improve documentation quality, coding accuracy, and patient care outcomes.

Qualifications

• RN with active Kentucky license or equivalent
• Bachelor’s degree preferred with 3 years acute health care nursing experience (including 1 year in clinical documentation)
• ACDIS CCDS or CDIP credentials strongly encouraged
• Knowledge of medical terminology and documentation standards
• Proficient with email, Word, Excel; data entry and data retrieval systems

Responsibilities

• Evaluate physician documentation to ensure patient severity of illness is accurately portrayed in the medical record
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices
• Maintain timely completion of assignments despite workflow fluctuations
• Communicate effectively to support clinical excellence, teamwork and innovation

Skills

Clinical Documentation

Nursing

Communication

Acute care

Terminology

Education

Registered Nurse (KY license)

Bachelor's degree preferred

AA in Nursing

Job description

SummaryJob Description:Baptist Health is looking for a Clinical Documentation Specialist to join our team! This is a remote work position that requires residence in either KY or INThe 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 licenseBachelor’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 encouragedKnowledge of medical record organizationKnowledge of medical terminologyAbility to complete assignments in a timely manner despite fluctuations in workflowStrong interpersonal, communication and listening skills is requiredKnowledge of e-mail, Word, Excel, data entry and data retrieval systems, Encoder and internetIf you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!Baptist Health is an Equal Employment Opportunity employer.