Meditech CDI Specialist: Elevate Clinical Documentation

Oneida Health; City of Oneida (NY); On-site; USD 65,000 - 85,000; Full time

Job summary

Oneida Health in the City of Oneida, NY is seeking a Clinical Documentation Improvement Specialist to enhance the accuracy of clinical documentation within the electronic health record system. The role involves conducting thorough reviews of patient records and collaborating with healthcare providers to ensure accurate coding.

Applicants should have a Bachelor's degree in a relevant field and clinical experience in a healthcare environment. A focus on communication and collaboration is essential, along with proficiency in Meditech EHR system.

Qualifications

• Clinical experience in a healthcare setting, preferably in a hospital environment.
• Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Coding Specialist (CCS) certification preferred.

Responsibilities

• Conduct thorough reviews of patient medical records.
• Collaborate with physicians and nurses for documentation accuracy.
• Educate clinical staff on coding guidelines and best practices.
• Analyze documentation trends for process improvement.

Skills

Attention to detail

Excellent communication and interpersonal skills

Ability to collaborate effectively with multidisciplinary teams

Education

Bachelor's degree in nursing, health information management, or relevant field

Tools

Meditech EHR system

Job description

Oneida Health in the City of Oneida, NY is seeking a Clinical Documentation Improvement Specialist to enhance the accuracy of clinical documentation within the electronic health record system. The role involves conducting thorough reviews of patient records and collaborating with healthcare providers to ensure accurate coding.

Applicants should have a Bachelor's degree in a relevant field and clinical experience in a healthcare environment. A focus on communication and collaboration is essential, along with proficiency in Meditech EHR system.