Lead Clinical Documentation Improvement Specialist (REMOTE)

The Ohio State University; Carson City (NV); Remote; USD 70,000 - 90,000; Full time

Job summary

A prestigious university healthcare provider in Carson City, NV, is seeking a Clinical Documentation Improvement Specialist. This role offers the opportunity for remote work with a flexible schedule while making a positive impact on healthcare documentation integrity. Candidates must have a Bachelor’s degree in nursing, an active RN license, and relevant experience in the field. Competitive salary and benefits are provided.

Benefits

Career advancement opportunities

Collaborative work environment

Flexible work schedule

Qualifications

• Active RN license is required.
• Minimum of 6 years of relevant experience; 6-10 years preferred.
• CCDS or CDIP certification is necessary.

Responsibilities

• Perform concurrent and retrospective reviews to improve medical record documentation.
• Develop and provide education for the CDI department.
• Function as a liaison between various departments.

Skills

Excellent communication

Team collaboration

Knowledge in medical information

Education

Bachelor’s degree in nursing

Tools

Electronic spreadsheets

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Work remotely with a flexible schedule
• Supportive and collaborative work environment
• Chance to make a positive impact on healthcare provider documentation integrity
• Competitive salary and benefits package

What to Expect (Job Responsibilities):

• Perform concurrent and retrospective reviews to identify opportunities for improving medical record documentation quality
• Complete audits to assess query compliance, coding accuracy, and provider education needs
• Develop and provide education to ensure competency and compliance within the CDI department
• Function as a liaison between the CDI department, coding, quality, compliance, clinical providers, and organizational leadership
• Participate in interdisciplinary workgroups as a subject matter expert to achieve desired outcomes

What is Required (Qualifications):

• Bachelor’s degree in nursing and an active RN license
• Minimum of 6 years of relevant experience; 6-10 years preferred
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification
• Knowledge and experience in medical information, coding applications, and electronic spreadsheets
• Excellent communication and team collaboration skills

How to Stand Out (Preferred Qualifications):

• Experience in Clinical Documentation Integrity Auditing/Education
• Proficiency in ICD-10-CM/PCS coding and AHA Coding Clinic
• Ability to work independently and manage multiple tasks effectively
• Familiarity with payer compliance and quality metrics
• Active involvement in quality assurance and process improvement initiatives

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