Remote Clinical Documentation Improvement Specialist

The Ohio State University; Columbus (OH); Remote; USD 70,000 - 105,000; Full time

Job summary

The Ohio State University Health System is seeking a Clinical Documentation Improvement Specialist (CDIS) to work remotely. You will review inpatient records concurrently to identify opportunities for improving documentation, and you will collaborate with caregivers to obtain the necessary details for accurate coding and DRG assignment.

This role emphasizes quality and compliance with Joint Commission and Medicare guidelines.

Qualifications

• Bachelor's Degree in Nursing and RN license.
• 2 years of relevant clinical documentation experience required.
• 2-4 years of relevant experience preferred.

Responsibilities

• Perform concurrent review of inpatient records to identify documentation opportunities.
• Collaborate with care teams to obtain missing or improved documentation.
• Support coding and DRG assignment by ensuring accurate diagnoses and procedures.
• Follow Joint Commission, Medicare and ICD-10-CM guidelines in documentation.

Skills

Nursing

Clinical documentation

Quality improvement

Education

Bachelor's Degree in Nursing

Job description

The Ohio State University Health System is seeking a Clinical Documentation Improvement Specialist (CDIS) to work remotely. You will review inpatient records concurrently to identify opportunities for improving documentation, and you will collaborate with caregivers to obtain the necessary details for accurate coding and DRG assignment.

This role emphasizes quality and compliance with Joint Commission and Medicare guidelines.