RN CDI Specialist: Elevate Clinical Documentation & Compliance

St. Francis-Emory Healthcare; Columbus (GA); Presencial; USD 60.000 - 85.000; Jornada completa

Descripción de la vacante

St. Francis–Emory Healthcare, part of ScionHealth, seeks a CDI Specialist in Columbus, GA to enhance clinical documentation quality and coding accuracy. Collaborate with physicians, nurses, coders, and other team members to reflect severity of illness and complexity of care.

Responsibilities include concurrent record reviews, provider query management, data abstraction for DRG accuracy, and education on documentation standards. Requires clinical experience and CDI/Coding credentials.

Formación

• Associate’s Degree in nursing, health information management or related healthcare field is required.
• Bachelor’s Degree in nursing, health information management or related healthcare field is preferred.
• Master’s Degree in nursing, health information management or related healthcare field is preferred.
• CDIP or CCDS required upon hire or within facility-specified time frame.
• RN licensure in state of practice upon hire (preferred).
• RHIA or RHIT upon hire (preferred).
• 3+ years of clinical experience required.
• Experience with CDI, ICD-10-CM/PCS, MS-DRGs and coding guidelines preferred.

Responsabilidades

• Perform concurrent reviews of inpatient records to identify clarification opportunities and documentation gaps.
• Initiate and follow up on provider queries per coding standards.
• Abstract clinical data to support coding accuracy and DRG assignments.
• Educate physicians and staff on documentation best practices and regulatory requirements.
• Review documentation for POA, HACs, and other quality indicators.
• Collaborate with case management, quality, compliance, and HIM teams.

Conocimientos

ICD-10/MS-DRG knowledge

EMR systems

Data analytics

Communication skills

Interdisciplinary collaboration

Educación

Associate’s Degree in nursing, health information management or related healthcare field

Bachelor’s Degree in nursing, health information management or related healthcare field

Master’s Degree in nursing, health information management or related healthcare field

Herramientas

EMR systems

Data analytics tools

Descripción del empleo

St. Francis–Emory Healthcare, part of ScionHealth, seeks a CDI Specialist in Columbus, GA to enhance clinical documentation quality and coding accuracy. Collaborate with physicians, nurses, coders, and other team members to reflect severity of illness and complexity of care.

Responsibilities include concurrent record reviews, provider query management, data abstraction for DRG accuracy, and education on documentation standards. Requires clinical experience and CDI/Coding credentials.