Facility CDI Specialist

Baptist Health System, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Baptist Health is seeking a Clinical Documentation Specialist to join our team in a remote role requiring residence in Kentucky or Indiana. The specialist evaluates physician documentation to ensure accurate illness severity and supports coding accuracy.

They guide physicians, nursing and ancillary staff on best practices and must be self-motivated and adaptable to change. Requirements include an active Kentucky nursing license, a nursing degree (BSN preferred) with experience; CCDS/CDIP

Qualifications

• Active Kentucky nursing license

Responsibilities

• Evaluate physician documentation to ensure severity of illness is accurately portrayed in the medical record.
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices.
• Adapt to workflow fluctuations while meeting deadlines.

Skills

Interpersonal skills

Communication skills

Listening skills

Time management

Education

Bachelor’s degree in Nursing

Associate’s degree in Nursing

Tools

Email

Microsoft Word

Microsoft Excel

Data entry

Data retrieval systems

Job description

Summary

_ 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 IN _

Job Description:

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.