Remote CDIS: Elevate Medical Documentation Quality

Ohio State University; Northern (KY); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

State retirement plan

Job summary

Ohio State University Health System is seeking a Clinical Documentation Improvement Specialist (CDIS) for remote work. The role focuses on concurrent review of inpatient records to improve documentation quality and support coding accuracy and DRG assignment.

The CDIS collaborates with physicians and caregivers, ensures compliance with TJC and Medicare guidelines, and aims to finalize a complete medical record by discharge. Prior nursing background and coding awareness are essential.

Qualifications

• Bachelor's degree in Nursing with RN licensure.
• Minimum 2 years of clinical experience; 2-4 years preferred.
• Experience with documentation improvement or coding processes is preferred.

Responsibilities

• Perform concurrent review of inpatient records to identify documentation gaps.
• Collaborate with physicians and caregivers to request and capture missing information.
• Assist the coding team to ensure accurate DRG assignment and quality measures.
• Support timely and complete documentation by discharge.

Skills

Registered Nurse (RN)

Clinical documentation

Remote work experience

Education

Bachelor's Degree in Nursing

Job description

Ohio State University Health System is seeking a Clinical Documentation Improvement Specialist (CDIS) for remote work. The role focuses on concurrent review of inpatient records to improve documentation quality and support coding accuracy and DRG assignment.

The CDIS collaborates with physicians and caregivers, ensures compliance with TJC and Medicare guidelines, and aims to finalize a complete medical record by discharge. Prior nursing background and coding awareness are essential.