Inpatient CDI Specialist: Elevate Medical Documentation

2300 Montefiore Nyack Hospital; Joliet (IL); On-site; USD 73,012 - 81,278; Full time

Job summary

2300 Montefiore Nyack Hospital is looking for a Clinical Documentation Specialist responsible for improving inpatient medical record documentation by educating and interacting with physicians and staff. A strong foundation in med/surg clinical experience is preferred, along with the ability to perform documentation audits and develop improvement processes.

The role requires excellent communication, analytical skills, and attention to detail, along with knowledge of EPIC and 3M. A BSN and CCDS certification are preferred for candidates.

Qualifications

• Current CDI experience with strong med/surg clinical experience.
• Ability to work independently with minimal supervision.
• Must possess clear communication and interpersonal skills.

Responsibilities

• Facilitate improvement of inpatient medical record documentation.
• Conduct audits and reviews of inpatient documentation.
• Develop processes for documentation improvement.

Skills

Interpersonal skills

Analytical skills

Attention to detail

Critical thinking

Computer skills (Excel, Word, PowerPoint)

Education

BSN Preferred

CCDS Certification preferred

Registered Nurse - New York State

Tools

EPIC

3M

Job description

2300 Montefiore Nyack Hospital is looking for a Clinical Documentation Specialist responsible for improving inpatient medical record documentation by educating and interacting with physicians and staff. A strong foundation in med/surg clinical experience is preferred, along with the ability to perform documentation audits and develop improvement processes.

The role requires excellent communication, analytical skills, and attention to detail, along with knowledge of EPIC and 3M. A BSN and CCDS certification are preferred for candidates.