Remote Lead Clinical Documentation Specialist

UR Thompson Health; Town of Canandaigua (NY); A distancia; USD 55.000 - 66.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Tuition assistance

Free parking

Competitive pay

Descripción de la vacante

UR Medicine Thompson Health is seeking a Lead Clinical Documentation Specialist to supervise CDI activities in a remote setting with onsite orientation as needed. The role emphasizes documenting high-acuity cases, guiding physicians on compliant queries, and driving performance across the CDI program.

The successful candidate will have RN licensure with significant inpatient CDI experience, CDS/CDIP certification within two years, and leadership ability to train and mentor staff.

Formación

• Licensed RN with minimum of 5 years inpatient clinical experience.
• CDS or CDIP certification required within two years of starting the role.
• AAS required.
• BSN preferred or willingness to complete within 5 years of hire.
• Leadership experience in CDI context preferred.

Responsabilidades

• Perform extensive medical record review using CDI software integrated with the EMR.
• Facilitate CDI enhancements through concurrent and retrospective physician and team interactions to support compliant documentation and revenue.
• Lead the CDI team and coordinate improvement practices with compliance and reimbursement considerations.
• Oversee training for providers, nurses and CDI staff.
• Participate in meetings to develop CDI program improvements and education.

Conocimientos

Advanced clinical knowledge

Expert in coding and reimbursement

Leadership experience

Data analysis

Educación

AAS required

BSN preferred

Herramientas

CDI software

EMR systems

Microsoft Office

Descripción del empleo

UR Medicine Thompson Health is seeking a Lead Clinical Documentation Specialist to supervise CDI activities in a remote setting with onsite orientation as needed. The role emphasizes documenting high-acuity cases, guiding physicians on compliant queries, and driving performance across the CDI program.

The successful candidate will have RN licensure with significant inpatient CDI experience, CDS/CDIP certification within two years, and leadership ability to train and mentor staff.