Facility CDI Specialist

BHS Baptist Healthcare System; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding physicians, nurses, and staff on best practices in clinical documentation.

The position emphasizes timely completion of assignments, adaptability to workflow fluctuations, and strong communication skills in a remote work environment.

Qualifications

• 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
• 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

Responsibilities

• Evaluate physician documentation to ensure accuracy of illness severity and coding specificity
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices
• Demonstrate self-motivation and adaptability to change in a remote work setting

Skills

Interpersonal skills

Communication

Listening skills

Medical terminology

Education

Registered Nurse license

Bachelor’s degree preferred

ACDIS CCDS or CDIP encouraged

Tools

Word

Excel

Encoder

Data entry systems

Internet

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

Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410‑bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40‑bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians.

Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law.

Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team.

Please note that Baptist Health is a drug‑free workplace and employment with Baptist Health is subject to post offer, pre‑employment drug testing.

Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll‑free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.

Job Applicant Privacy Policy Statement - Job Applicant Privacy Policy