RN CDI Specialist: Elevate Clinical Documentation

Baptist Health; United States; On-site; USD 75,000 - 110,000; Full time

Job summary

Baptist Health, the region's leading healthcare system, seeks an RN - Clinical Documentation Improvement Specialist to ensure complete and accurate provider-based documentation across medical records. You will review records, collaborate with physicians and staff, and support appropriate reimbursement and outcome reporting.

The role requires an active RN license, a CCDS certification or plan to obtain within 3 years, and strong data skills to develop reporting tools and drive process

Qualifications

• Requires nursing degree and active RN license.
• CCDS certification or plan to obtain within 3 years is required or pursued.
• Strong data, reporting, and process-improvement skills are essential.

Responsibilities

• Facilitate integrity and completeness of provider-based clinical documentation.
• Review medical records to ensure appropriate reimbursement for services rendered.
• Collaborate with physicians, clinical staff and coding staff to improve documentation quality.
• Develop reporting tools, graphs, and control charts to support outcomes profiling.

Skills

Microsoft Word

Excel

Data analysis

Interpersonal skills

Project management

Regulatory knowledge

Education

Bachelor's degree in Nursing

Active RN license

CCDS certification or plan to obtain within 3 years

Job description

Baptist Health, the region's leading healthcare system, seeks an RN - Clinical Documentation Improvement Specialist to ensure complete and accurate provider-based documentation across medical records. You will review records, collaborate with physicians and staff, and support appropriate reimbursement and outcome reporting.

The role requires an active RN license, a CCDS certification or plan to obtain within 3 years, and strong data skills to develop reporting tools and drive process