#CLINI183659

Clinical Documentation Specialist*FT*Days

2022-01-06
  • Organization

  • Medical Center of South Arkansas Medical Center of South Arkansas

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  • Full Time

Job Description

The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. The role of the CDI specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. At least one of the following is required: BSN, RN, or comparable clinical degree

The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. The role of the CDI specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record

At least one of the following is required:   BSN, RN, or comparable clinical degree

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