Senior Clinical Documentation Improvement Specialist – Exempt

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform evaluations of inpatient medical records.

• Recognize absent, ambiguous, and/or incomplete elements.

• Convey the necessity for supplementary documentation to clinical providers.

• Collaborate with various departments to enhance documentation quality.

• Deliver data reports and educational assistance regarding documentation components.

• Assist in initiatives aimed at improving documentation quality by caregivers.

⛳️ Requirements

• Educational qualifications include RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP.

• Minimum of 3 years of CDI experience and 1 year in nursing, inpatient coding, UM, CM, Quality, or a related area.

• Expertise in data analysis, detailed data presentation, and clinical documentation.

• Strong clinical understanding and capability to identify diagnoses.

• Comprehensive knowledge of disease processes and clinical outcomes.

• Familiarity with EXCEL, Word, and PowerPoint.

• Advanced understanding of healthcare regulations.

• Exceptional communication abilities.

• Proficient computer skills, including typing capability.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Tuition support.

• Matched retirement plans for team members working 32+ hours per pay period.