Hybrid CDI Specialist | Elevate Medical Documentation

CHS Corporate; Las Cruces (NM); Híbrido; USD 70.000 - 110.000; Jornada completa

Descripción de la vacante

Mountain View Medical Center seeks a Clinical Documentation Specialist (CDS) to enhance inpatient documentation accuracy and ensure codes reflect patient status. The CDS collaborates with providers to educate and query physicians, supporting CDI goals and regulatory compliance.

The role requires strong knowledge of CDI principles, inpatient coding guidelines, and quality metrics, with experience in education and cross-disciplinary collaboration within a hospital setting.

Formación

• Associate degree in Nursing or comparable clinical field required.
• Bachelor's Degree in Nursing, Health Information Management, or related field preferred.
• 3-5 years of acute care hospital nursing experience required.
• 3-5 years of CDI/health information management or inpatient coding experience preferred.
• Experience in physician education or query processes preferred.
• Familiarity with regulatory standards and quality metrics related to clinical documentation preferred.

Responsabilidades

• Analyze inpatient records to identify documentation improvement opportunities.
• Follow CDI workflows and use CDI software like 3M 360 Encompass and Iodine Interact.
• Use physician queries to clarify documentation, following up daily.
• Conduct follow-up reviews to identify new opportunities and ensure accuracy.
• Track CDI activities and report impact metrics.
• Educate providers on documentation improvements, via individual or group sessions.
• Collaborate with coding professionals to ensure accurate data.
• Lead physician education initiatives and train staff.
• Monitor regulatory changes in coding, documentation, and quality metrics.
• Create and submit accurate reports timely.
• Performs other duties as assigned.
• Maintain regular attendance.
• Comply with policies and standards.

Conocimientos

CDI knowledge

Inpatient coding

Analytical skills

Education and training

Communication skills

Organizational skills

Educación

Associate Degree in Nursing

Bachelor's Degree in Nursing or Health Information Management

Herramientas

3M 360 Encompass

Iodine Interact

Descripción del empleo

Mountain View Medical Center seeks a Clinical Documentation Specialist (CDS) to enhance inpatient documentation accuracy and ensure codes reflect patient status. The CDS collaborates with providers to educate and query physicians, supporting CDI goals and regulatory compliance.

The role requires strong knowledge of CDI principles, inpatient coding guidelines, and quality metrics, with experience in education and cross-disciplinary collaboration within a hospital setting.