Clinical Doc Improve Spec 1

Clinical Documentation Improvement Specialist 1

The Clinical Documentation Improvement (CDI) Specialist 1 conducts reviews of patient medical records to ensure documentation is accurate and up-to-date. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Educates members of the patient care team regarding documentation guidelines.

Qualifications

Education

• Bachelor's Degree in Nursing preferred

One of the following is required:

• Associate's Degree or higher in Nursing
• Doctor of Medicine (MD) from an accredited medical school
• Doctor of Osteopathic Medicine (DO) from an accredited medical school
• Medical Degree from a foreign medical school with successful completion of the USMLE Step 1 and Step 2 Exams

Experience

• 5 years of clinical experience in an acute hospital setting with demonstrated expertise in Med/Surg, OB, Trauma, ICU, and/or CCU required
• Prior coding or Clinical Documentation Improvement (CDI) program experience preferred

Licenses and Certifications

• RN - Current and valid Registered Nurse license to work within the state of California (if education is in Nursing) required
• ECFMG - Educational Commission for Foreign Medical Graduates (if education is from a foreign medical school) required

One of the following is preferred:

• CCDS - Certified Clinical Documentation Specialist
• CDIP - Certified Documentation Improvement Practitioner

Disclaimers

Pay ranges listed are an estimate and subject to change. If any bonuses are noted, they are only applicable to external hires meeting criteria.