Hybrid CDI Specialist: Elevate Documentation

Community Health Systems, Inc.; Fort Wayne (IN); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Community Health Systems, Inc. seeks a Clinical Documentation Specialist to support CDI efforts at Lutheran Hospital in Fort Wayne, IN.

The CDS ensures accuracy of diagnoses and procedures by collaborating with providers and using physician queries to reflect patient severity and improve quality metrics. The role requires analyzing inpatient records, utilizing CDI software (3M 360 Encompass, Iodine Interact), educating providers, tracking outcomes, and coordinating with coding professionals to

Qualifications

• Associate Degree in Nursing or comparable clinical field required
• Bachelor's Degree in Nursing, HIM or related field preferred
• 3-5 years acute care hospital nursing experience required
• 3-5 years in clinical documentation improvement or inpatient coding preferred
• Experience in physician education or query processes preferred
• Familiarity with regulatory standards and quality metrics preferred

Responsibilities

• Analyzes inpatient records to identify opportunities for improving documentation accuracy
• Uses CDI workflows and software to support documentation practices
• Uses physician query processes to clarify documentation and follows up daily
• Conducts follow-up reviews to identify new opportunities and ensure accuracy
• Tracks CDI activities and reports impact metrics
• Provides education and training to providers on documentation improvement
• Collaborates with coding professionals to ensure accurate data
• Leads physician education initiatives and training sessions
• Monitors regulatory changes in coding, documentation, and quality metrics
• Creates and submits accurate reports in a timely manner
• Performs other duties as assigned
• Maintains regular attendance and complies with policies

Skills

CDI knowledge

Analytical skills

Communication skills

Education & training

Regulatory compliance

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing/Health Information Management

3-5 years acute care nursing experience

3-5 years CDI/health information management experience

Tools

3M 360 Encompass

Iodine Interact

Job description

Community Health Systems, Inc. seeks a Clinical Documentation Specialist to support CDI efforts at Lutheran Hospital in Fort Wayne, IN.

The CDS ensures accuracy of diagnoses and procedures by collaborating with providers and using physician queries to reflect patient severity and improve quality metrics. The role requires analyzing inpatient records, utilizing CDI software (3M 360 Encompass, Iodine Interact), educating providers, tracking outcomes, and coordinating with coding professionals to