RN CDI Specialist II: Elevate Clinical Documentation

150 Sharp Tri-City Medical Center; Vista (CA); On-site; USD 79,000 - 103,000; Full time

Job summary

150 Sharp Tri-City Medical Center seeks a Clinical Documentation Improvement Specialist (CDI) to perform concurrent review of medical records and issue physician inquiries, ensuring accurate documentation and DRG assignment. The role collaborates with case management, coding staff, and physicians to close documentation gaps and improve reimbursement.

Requires RN with California license, 5+ years RN experience, 2+ years CDI experience, and current CDI certification from ACDIS.

Qualifications

• Bachelor's Degree in Nursing required.
• California RN license required.
• 5+ years RN experience required.
• 2+ years CDI experience required.
• Current CDI certification from ACDIS required.

Responsibilities

• Performs concurrent review of medical records and issues physician inquiries.
• Collaborates with case management, coding staff and medical staff to improve documentation quality.
• Analyzes documentation to ensure accurate DRG assignment and case mix data.
• Queries providers to clarify incomplete documentation ethically and compliantly.
• Facilitates accurate reimbursement by addressing insurance queries and ensuring proper compensation.

Skills

Communication

Teamwork

Analytical

Leadership

Education

Bachelor's Degree in Nursing

Tools

Microsoft Word

Job description

150 Sharp Tri-City Medical Center seeks a Clinical Documentation Improvement Specialist (CDI) to perform concurrent review of medical records and issue physician inquiries, ensuring accurate documentation and DRG assignment. The role collaborates with case management, coding staff, and physicians to close documentation gaps and improve reimbursement.

Requires RN with California license, 5+ years RN experience, 2+ years CDI experience, and current CDI certification from ACDIS.