Hybrid RN CDI Specialist: Elevate Documentation Quality

Hugh Chatham Memorial Hospital; Chicago (IL); Hybrid; USD 52,000 - 79,000; Full time

Benefits offered by this job

Health benefits

Paid Time Off

Retirement plan

Educational assistance

Job summary

Advocate Trinity Hospital is seeking a Clinical Documentation Improvement Specialist to enhance medical record documentation quality. The role entails chart reviews, physician collaboration, and ensuring accurate DRG assignments.

Qualified candidates will have an Illinois RN license, a BSN, and 5 years of clinical experience with CDI preferred. This is a full-time hybrid position with on-site and remote work options in Chicago.

Qualifications

• Graduate from an accredited school of nursing and licensed in Illinois.
• 5 years of relevant clinical experience; clinical documentation improvement preferred.

Responsibilities

• Improve quality and completeness of clinical documentation via chart reviews.
• Communicate with healthcare team to ensure accurate documentation in medical records.
• Identify principal diagnosis and complications reflecting acuity and risk of mortality.
• Review coding with staff to assign working DRG and follow up with physicians as needed.
• Provide daily clinical evaluation of medical records, labs, diagnostics and treatment plans.
• Educate physicians and staff on documentation opportunities and reimbursement considerations.
• Assist CDI leader with performance measures and data reporting.
• Maintain data integrity and participate in continuous improvement programs.

Skills

Prioritization and workflow management

Communication skills

Critical thinking

Interpersonal skills

Problem solving

Education

BSN

Accredited nursing program

Tools

ICD-10 coding

DRG understanding

Job description

Advocate Trinity Hospital is seeking a Clinical Documentation Improvement Specialist to enhance medical record documentation quality. The role entails chart reviews, physician collaboration, and ensuring accurate DRG assignments.

Qualified candidates will have an Illinois RN license, a BSN, and 5 years of clinical experience with CDI preferred. This is a full-time hybrid position with on-site and remote work options in Chicago.