Clinical Documentation Specialist

CDI Nursing AdvisorAnsible Government Solutions, LLC (Ansible) is currently recruiting CDI Nursing Advisor at the Lt. Col. Luke Weathers, Jr. VA Medical Center located at 116 North Pauline St, Memphis, TN 38104. The schedule is typically Monday-Friday, 7:30am-4pm. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers.Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers' success as if it is their own.Responsibilities:Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient and outpatient servicesReview health records concurrently to identify opportunities for improved documentation and coding accuracy using clinical knowledge and critical thinking skillsSupport CDI activities by applying the nursing process to data gathered by the CDI team, reviewing it for clinical validation, trends, and opportunities for improvementCommunicate findings to the CDI team, providers, and other departments as appropriateCollaborate with healthcare providers through written, verbal, or electronic clarification requests or queriesDevelop and implement the facility's CDI management program, including charter, Standard Operating Procedures (SOW), workflow, and turnaround time complianceFocus on updating problem lists or Scientific Nomenclature of Medicine – Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code setsConduct concurrent or retrospective reviews of health records to clarify clinical questions and identify potential query opportunitiesDevelop and deliver active training/education programs for clinical staff about current documentation standards and improving techniquesProvide self-directed support to clinical staff, patients, and families throughout the continuum of careGenerate weekly, bi-monthly, and monthly reports as required by the CORMaintain performance metrics in accordance with VHA requirementsParticipate in collaborative meetings and CDI-specific program initiativesQualifications:Bachelor's degree in Nursing from an accredited programCurrent, full, active and unrestricted RN license in any State, Territory, or Commonwealth of the United StatesMinimum of two years' experience working as a CDI specialist in a hospital settingCertification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS)Knowledge of ICD-10-CM and MS-DRG coding systemsExperience with electronic health record systems, particularly VistA/CPRS preferredThorough understanding of medical terminology, anatomy, physiology, disease processes, and treatment protocolsKnowledge of regulatory guidelines including The Joint Commission, CMS, and VHA requirementsExcellent communication, interpersonal, and critical thinking skillsNo sponsorship availableAll candidates must be able to:Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shiftLift up to 50 lbs from floor to waistLift up to 20 lbsCarry up to 40 lbs a reasonable distancePush/pull with 30 lbs of forceAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Ansible Government Solutions