Compliant Documentation Specialist

Job Desciption

The CDS is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness This involves extensive record review, interaction with physicians, HIM professionals, and nursing staff. Active participation in team meetings and education of staff in the CDIP process is a key role.

Clinical expertise in area of responsibility and management of patients in that area: clinical documentation improvement; excellent organizational, analytical, writing and interpersonal skills, builds effective relationships with the healthcare team; demonstrates critical thinking skills; clinical and leadership skills, performance improvement, DRG’s, analytical skills, dependable, self directed and pleasant, critical thinking, problem solving and deductive reasoning skills, recent hospital experience ICU, CCU, knowledge of Pathophysiology and Disease Process, basic computer skills-familiarity with Windows based software programs, understand and support DRG documentation strategies, navigation of CDI software product (upon completion of training.

The shift will be determined by each hiring manager. The pay rate will be determined in accordance with the labor agreement.

Requirements

• Candidates are required to have Adult ICU experience (2 years)
• Must be a Registered Nurse in West Virginia, orbe able to obtain aWV RN license by hire
• Bachelor's Degree with clinical background required.
• Compliant Documentation Improvement Specialist Certification preferred.
• 5+ years of position related experience required.

Minimum experience includes: patient care in the hospital setting, direct knowledge of care management, resource management, compliant documentation improvement, coding, DRG assignments, ICD-9/10

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