Job Board

Welcome to the ACDIS Job Board!

ACDIS member organizations may post up to four openings per year. You must login to access the form. Additional job postings may be made available for a fee.

Non-ACDIS members can post openings for a fee of $350 per job description by contacting ACDIS member relations at customerservice@hcpro.com, or by phone at 800/650-6787.

Each post will remain on the board for roughly 30 days.

Job description and benefit language must be limited to the actual job description and benefits, without extraneous language about the facility or region.

There is a character limit of 1,500 for description and 700 for benefits (including spaces and punctuation). We will edit your post (or return for you to edit) if the counts exceed the stated limits.


Date of Request: July 24, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Memorial Hermann Health System
Location of Facility / Hospital: Memorial City Hosp; Katy Hosp, & TX Med Center in Houston, TX
Contact Person: Joy Coletti
Contact Address: joy.coletti@memorialhermann.org

Job Description: Position is responsible for helping improve the overall quality & completeness of physician clinical documentation through daily review of concurrent EMR, electronic & verbal querying of physicians, and education of physicians/ physician extenders on both an informal and formal basis - with regular attendance at Service Line meetings. Collaborates with Coding, U/R, CM and IT staff in order to improve electronic capture of medical diagnoses & procedures that accurately reflect the severity of illness (SOI) & Risk of Mortality (ROM) of each patient & improve coding accuracy. Position is responsible for maintaining minimum productivity standards as an experienced CDI.
QUALIFICATIONS:

  1. BSN or MD with hospital coding knowledge/experience preferred, or RHIT/RHIA/CCS with CDI experience.
  2. CDI Certification (CCDS or CDIP) preferred or able to achieve certification within first 2 years.
  3. ICD-10 Knowledge/experience a plus.
  4. Clinicians with 5+ years of clinical experience in a hospital setting, preferably in Emergency Care/ Critical Care / Cardiovascular Care
  5. Excellent communication skills (written and verbal) & able to work with different personality types in a professional & respectful manner
  6. Strong work ethic, self-motivated and able to work independently
  7. Strong analytical thinking - able to analyze data, & evaluate information to focus work efforts

Compensation: Competitive salary and benefits; salary based on clinical/coding/CDIS certification/experience
Benefits:
Preferred Start Date: August 15, 2014
Position Type: Full-time, Permanent


Date of Request: July 22, 2014
Job Title:  Clinical RN Document Improvement Specialist
Name of Facility/Hospital: UnitedHealth Group
Location of Facility/Hospital: Bakersfield Memorial Hospital, Bakersfield, CA
Contact Person/email/phone:  To apply online, visit http://uhg.hr/CAClinicalaj2 AND search for Job #552213
Contact Address: Please apply online.

Job Description: The Clinical RN Document Improvement Specialist (CDS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients.

Qualifications Include:
BSN required or matriculating in a national or state approved BSN program
Current Registered Nurse (RN) License  within the state in which you reside
Must be comfortable communicating & working closely with Physicians
Minimum of five years acute care hospital clinical RN experience

To learn more and APPLY, please visit http://uhg.hr/CAClinicalaj2 AND search for Job #552213

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Compensation: Competitive hourly rate
Benefits: Competitive benefits package
Preferred Start Date: July / Aug 2014
Position Type: Full-Time


Date of Request: July 21, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Precyse
Location of Facility / Hospital: McHenry, IL
Contact Person: Precyse Talent Acquisition, 1-866-PRECYSE
Contact Address: careers@precyse.com

Job Description: Our clients will look to your expertise as you facilitate the improvement in the overall quality and completeness of medical record documentation. Precyse's comprehensive Clinical Documentation Improvement and education platforms can be tailored to address specific hospital documentation improvement goals. This includes customized improvement programs and educational tools to meet those goals, including integrating ICD-10 principles and demands for further documentation specificity. Our three-phased CDI approach includes Assessment and Design, Education and Implementation, Follow-up and Monitoring. Our CDI Specialists have this wide array of tools available to them to ensure proper documentation and the achievement our clients' long term goals. This position is requires up to 100% travel. You will be consulting at leading hospitals across the country, helping to drive clinical documentation improvement. Apply here: http://careers.precyse.com/view-job/?jobid=1089

Compensation: Negotiable
Benefits:
Preferred Start Date: August 21, 2014
Position Type: Full-time
 


Date of Request: July 20, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Peak Health Solutions
Location of Facility / Hospital: Nationwide - opportunities in all states
Contact Person: Jennifer Humm
Contact Address: recruiting@peakhs.com

Job Description: Position Responsible for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the CDI specialists, coders, and physicians to improve documentation and coding at the client hospital. Facilitates clarification and specificity to clinical documentation through appropriate interaction with physicians and as needed with the physician champion. Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes to reflect the patient's true severity of illness, intensity of care, and risk of mortality. Educates all members of the health care team on an ongoing basis. Requirements: Current RN license and/or RHIA, RHIT or CCS certification required; 2 years of CDI experience. Minimum of 2 years of experience in an acute care setting, (if RN, Critical Care, Medical/Surgical or Emergency department nursing preferred); unless being assigned to a specialty service line, then minimum of 3 years of experience in a specific service line acceptable. Ability to travel and stay onsite in a contract, contract to hire, or direct hire capacity.

Compensation: Competitive salary commensurate with experience
Benefits: Full-time benefits include Paid time off, Medical and Dental, 401K, Educational stipend, and a FSA account
Preferred Start Date: July 28, 2014
Position Type: Full-time
 


Date of Request: July 21, 2014
Job Title:  Clinical Documentation Specialist (CDS)
Name of Facility/Hospital: Holy Name Medical Center
Location of Facility/Hospital: Teaneck, NJ
Contact Person/email/phone:  To apply online, visit www.holyname.org and click on careers
Contact Address:

Job Description: We’re looking for a nurse with exceptional reasoning skills to facilitate improvements in the quality, accuracy and completeness of our medical records documentation. You’ll sit on task forces; conduct extensive reviews of medical records; assure the best reflection of diagnosis, clinical status and discharge; recognize opportunities for clarification and/or improvement; and communicate with physicians and members of the HIM staff. Some training, input of data, and reporting are also involved.

Qualified candidate is an RN with current NJ license, BSN and keen organizational, analytical, critical thinking and interpersonal skills. Must have 5 years of clinical experience—ideally in med/surg, acute or critical care—that reflect sound knowledge of the disease process, particularly when it comes to clarification and Medicare, regulatory or DRG matters. Good computer skills and the ability to support CDMP are also essential. Experienced CDI and CCDS preferred.

To learn more about us and apply online, please visit www.holyname.org and click on careers. EOE

Compensation:
Competitive salary based upon experience
Benefits: Competitive benefits package
Preferred Start Date: July 2014
Position Type: Full-Time
 


Date of Request: 07/18/2014
Job Title:  Clinical Documentation Improvement Specialist, RN/BSN
Name of Facility/Hospital: Northside Hospital
Location of Facility/Hospital: Atlanta, GA
Contact Person: Stephen Stetz, stephen.stetz@northside.com, 404-845-5942
Contact Address: Atlanta, GA

Job Description: Opportunities exist for one Manager and several Specialists. Our CDI team improves the overall quality and completeness of clinical documentation in the medical record. You will be offered the opportunity to facilitate improvement through interaction with physicians and other members of the healthcare team to achieve clinical documentation that reflects the patient's clinical status and care provided.

Qualifications:

  • RN, BSN
  • At least 5+ years of nursing experience in an acute care setting through direct patient care, utilization review, case management or quality review
  • Ability to interact with treating physicians, nurses, CDISs, case managers, quality staff and coders
  • Experience in CQI concepts, tools and techniques

Apply today. careers.northside.com. Interested candidates may also email: stephen.stetz@northside.com, or phone 404-845-5942.EOE. Apply online at http://www.Click2Apply.net/tqxd6xv

Compensation: Competitive
Benefits: Comprehensive
Preferred Start Date:  07/18/2014
Position Type: Full-Time
 


 

Date of Request: 07/17/2014
Job Title:  DRG Validator
Name of Facility/Hospital: Nyack Hospital 
Location of Facility/Hospital: Nyack, NY
Contact Person/email/phone:  HR@NYACKHOSPITAL.ORG
Contact Address: Nyack, New York, United States, 10960
Job Description:  DRG Validator - Full Time Individual to be responsible for creating consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities include but not limited to: Performing data and quality reviews on inpatient records to validate the ICD-9-CM, codes, DRG group appropriateness, missed secondary diagnosis and procedures, and ensures compliance with all DRG mandates and reporting requirements. Monitors Medicare and other DRG paid bulletins and manuals and reviews the current OIG Work plans for DRG risk areas. Performing additional diverse duties as assigned. Requirements: Associates Degree in a Health Information Management required. At least 5 years progressive coding or coding review experience in ICD-9-CM with claims processing and data management responsibilities a plus. Past auditing experience or strong training background in coding and reimbursement preferred. Formal HIM education with national certification (RHIA, RHIT) preferred. CCS coding certification required from the American Health Information Management Association. Good oral and written communication skills and comprehensive knowledge of the DRG structure and regulatory requirements. Contact: Erin Marks, Employment Manager, Nyack Hospital, 160 N. Midland Avenue, Nyack, NY 10960, email: HR@NYACKHOSPITAL.ORG, Fax: 845-348-3045. EOE. www.nyackhospital.org
Compensation: DOE
Benefits: TBD
Preferred Start Date: 07/17/2014

Position Type: Full Time

 


Date of Request: July 15, 2014
Job Title: CDI Consultant
Name of Facility / Hospital: Huff DRG Review
Location of Facility / Hospital: National
Contact Person: Wendy Clesi, RN, CCDS, Director CDI
Contact Address: wendy.clesi@drgreview.com
Job Description: Huff DRG Review is growing and we are seeking Clinical Documentation Improvement (CDI) Consultants for full time, permanent positions. Our unique approach to CDI includes regular interaction with our board-certified physicians and our daily pre-bill MSDRG Assurance Program. The CDI Consultant is responsible for CDI client engagement delivery including project management, client education and training, medical record documentation analysis, program assessment and gap analysis, reporting, and ongoing client support.  This position involves partnering with clients and maintaining extensive interactions in all phases of CDI engagements to assist the client in developing a successful and sustainable CDI program. It also includes direct involvement in daily client interaction and client satisfaction.  Frequent travel to client sites and participation in industry events and speaking engagements to promote CDI expertise and capabilities is required. Qualifications: Bachelor’s degree in Health Information Management or other Health Related field with an RN Nursing certification or RHIA preferred. CCDS, CDIP, or CCS certification preferred. Minimum of 5 years of healthcare management experience or 2 years CDI Consulting experience. Direct experience working as a CDS or in development of CDI program in the acute care setting and understanding of CDI program infrastructure, workflow and reporting/metrics is required. Strong understanding of clinical, HIM, Quality and Case Management workflow. Proficient in ICD-9-CM Diagnosis/Procedures Codes, MS-DRG reimbursement and clinical documentation. Excellent communication skills, strong organization and presentation skills and experience presenting to C-suite.
Compensation: Competitive
Benefits:
Preferred Start Date: August 1, 2014
Position Type: Full-time


Date of Request: July 15, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Stanford Hospital and Clinics
Location of Facility / Hospital: Palo Alto, CA
Contact Person: Rosan Lam
Contact Address: Rlam@stanfordmed.org
Job Description: The Clinical Documentation Improvement Specialist uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of both inpatient and outpatient medical records reviews to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. 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. This position will work closely with physicians, Health Information Management coders and hospital staff to support timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcome quality measures. This position will facilitate appropriate clinical documentation of patient care. This position plays a key role in reporting quality of care outcomes and in obtaining complete, accurate, and compliant documentation for appropriate reimbursement for services provided and capture of clinical outcome measures. This position educates physicians and healthcare providers on the importance of complete and accurate clinical documentation as it relates to patient acuity, severity of illness, risk of mortality, physician profiling/scorecards/core measures, and regulatory reimbursement guidelines. Further details available.
Compensation: Will discuss
Benefits: Benefit Eligible position
Preferred Start Date: September 1, 2014
Position Type: Full-time


 

Date of Request: July 11, 2014
Job Title: CDI Supervisor
Name of Facility / Hospital: University of Florida Health
Location of Facility / Hospital: Gainesville, FL
Contact Person: George Hachey
Contact Address: hachgs@shands.ufl.edu

Job Description: Supervises and coordinates CDI workflow and provides leadership to assure section goals are met. Conducts orientation and training of CDI staff. Coaches and assists CDI Specialists in regards to collaborating with medical staff on improvement of medical record documentation pertaining to compliance and coding requirements. Reviews medical records for quality of documentation, develops methodologies, and assists CDI specialists. Develops and presents related physician education programs. Assists CDI Specialists in developing and presenting related physician education programs. Minimum Education and Experience Requirements: Minimum 5 years recent experience as a CDI specialist. Minimum 2 years previous Manager, coordinator, or lead position experience. Certified Clinical Documentation Specialist (CCDS) preferred. One year previous supervisory experience preferred. AND Graduate of an accredited school of nursing with current RN licensure in the State of Florida. Minimum 5 years of recent clinical experience in an acute care hospital setting. Utilization review or medical record coding experience preferred. OR Minimum 5 years experience in medical record coding/reimbursement with Registered Health Information Administration (RHIA) OR Registered Health Information Technician (RHIT) OR Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) with comparable education.

Compensation: $50K - $75K
Benefits:
Preferred Start Date: September 1, 2014
Position Type: Full-time , Permanent

 


Date of Request: July 7, 2014
Job Title: CDI Specialist
Name of Facility / Hospital: St. Peter's Hospital
Location of Facility / Hospital: Helena, MT
Contact Person: Barb Slunaker
Contact Address: bslunaker@stpetes.org

Job Description: Provide clinically based concurrent review of inpatient medical records to assess and procure accurate and complete documentation of the patients’ diagnoses and procedures. Assign appropriate codes to patient records at point of care.  Produce reports, assist with quality assurance efforts and provide educational training to providers and staff on the coding process. Must possess excellent communication skills and ability to develop strong, positive working relationships with physicians. Must have the ability to encourage and educate in a non-confrontational manner. Use critical thinking skills to perform concurrent review of clinical documentation in the medical record, with the initial review performed within 48 hours of admission. Analyze the patient’s current clinical status, treatment plan and past medical history to identify potential gaps in physician documentation. Identify principal diagnosis and all secondary conditions, co-morbidities, complications and procedures documented in the medical record. Evaluate POA indicators. Assign the working DRG and query DRG(s) as appropriate. Query the physician and clinicians for clarification and obtain accurate and complete documentation as needed RN license. Previous clinical documentation experience preferred. Coding Certification with 2 years of clinical coding experience with strong attention to detail and a high level of accuracy required. Experience may be considered in lieu of certification. 

Compensation: Highly Competitive
Benefits: Full package.
Preferred Start Date: August 21, 2014
Position Type: Full-time


Date of Request: July 7, 2014
Job Title: Clinical Documentation Improvement (CDI) Specialist
Name of Facility / Hospital: New York Hospital Queens-NewYork Presbyterian Healthcare System
Location of Facility / Hospital: Flushing, New York
Contact Person: Ayanna Edwards
Contact Address: aye9005@nyp.org

Job Description: BSN preferred. Currently licensed to practice as a Registered Nurse in the State of New York: Required. Certified Coding Associate (CCA), Certified Coding Specialist (CCS), and Certified Clinical Documentation Specialist (CCDS) strongly desired. The role of the Clinical Documentation Improvement (CDI) Specialist is to improve the overall quality and completeness of clinical documentation through extensive interaction with Physicians, PA's, NP's, Nursing staff and Coders and to ensure that appropriate reimbursement is received for services rendered. Position requires a minimum of 3-5 years acute care nursing experience and the ability to learn/develop the skills necessary to perform clinical documentation improvement. Computer literacy and ability to effectively obtain clinical information from a variety of electronic sources is necessary. Documentation Improvement, Utilization, Quality or Case Management experience preferred.

Compensation: Competitive
Benefits: Competitive benefit package
Preferred Start Date: August 2014
Position Type: Full-time
 


Date of Request: July 2, 2014
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Carson Tahoe Health
Location of Facility/Hospital: Carson City, NV
Contact Person/email/phone:  Jan Rombardo/jan.rombardo@carsontahoe.org
Contact Address: 1600 Medical Parkway. To learn more about us and to apply today, visit our website:  www.carsontahoe.com or call our recruitment team at 775-445-8678  EOE

Job Description: The Clinical Documentation Specialist works with the interdisciplinary team to improve the overall quality and completeness of clinical documentation.  Facilitates appropriateness of clinical documentation through extensive interaction with physicians, nursing staff and other patient caregivers to ensure that documentation reflects the level of service rendered to patients.  Works closely with HIM coding staff to ensure the patient’s health record reflects clear and complete diagnosis, procedure and present on admission documentation and assists with obtaining clarification to ensure appropriate and compliant reimbursement.  Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. This position may provide services to various patient populations including pediatrics, adolescent, adult and geriatrics.  Population served by this position is all age groups.

Must be a graduate from accredited school of nursing. Valid Nevada RN License and Bachelor degree preferred.  A minimum of five years clinical nursing experience in an acute care hospital setting required.  Advanced interpersonal communication skills with all levels of internal and external customers required.   Current case management certification preferred.  Utilization management/quality management experience preferred and previous management role or demonstrated knowledge of organizational dynamics.

Compensation: Competitive salary based upon experience                  
Benefits: Excellent medical benefit package, 401(k), paid holidays, generous PTO and education assistance. 
Preferred Start Date: ASAP
Position Type: Full Time


Date of Request: July 2, 2014
Job Title:  RN Clinical Documentation Specialist
Name of Facility/Hospital:  Loyola University Health System
Location of Facility/Hospital: Maywood, IL
Contact Person/email/phone: Apply online. We will respond to only those candidates most closely meeting our qualifications. Copy and paste into a browser:
https://www.healthcaresource.com/thregion4/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=200223696
Contact Address: URL above

Job Description: The Clinical Documentation Specialist (CDS) will demonstrate clinical nurse leadership, project management skills, and the accountability to prompt physicians and advance practice nurses to provide details and clarity in documentation necessary for accurate medical record coding and billing. In this full-time role you’ll facilitate accurate documentation for severity of illness and quality in the medical record while working closely with HIM coding staff to facilitate accurate documentation of discharge diagnosis and co-existing co-morbidities. Plus, you’ll:
•    Review inpatient medical records as directed on admission and throughout hospitalization for completeness and accuracy for severity of illness (SOI) and quality.
•    Ensure effective and appropriate communication with attending physicians, residents, fellows and APNs either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation.
Work closely with HIM coding staff to assure documentation of discharge diagnosis (es) and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care.

Requirements include a Bachelor’s degree or equivalent training acquired via work experience or education with a minimum of 3-5 years of job-related experience although preferably 6-10 years of relevant experience, and previous Clinical Documentation or Case Management experience desirable. You must have current RN Licensure in the State of IL.

Equal Opportunity Employer

Compensation: TBD
Benefits:
Preferred Start Date: Open
Position Type:  Full time
 


Date of Request: July 2, 2014
Job Title:  Manager of Clinical Documentation
Name of Facility/Hospital: Loyola University Health System
Location of Facility/Hospital:  Maywood, IL
Contact Person/email/phone: Apply online We will respond to only those candidates most closely meeting our qualifications. Copy and paste into browser:
https://www.healthcaresource.com/thregion4/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=906081
Contact Address: n/a

Job Description: As manager you’ll direct the activities of the Clinical Documentation Improvement (CDI) department. This includes facilitating modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with physicians, nursing staff and other caregivers, case management and medical records coding staff. You’ll also serve as a resource to physicians and others and facilitate education based on data analysis.

Requirements include a Bachelor’s degree in Nursing with Master’s degree preferred (BSN prepared candidates without a Master’s degree must complete a Master’s within 3-5 years of start date), a minimum of 3-5 years of previous job-related experience with 6-10 years of relevant experience preferred, as well as current RN licensure in the State of IL.  Knowledge of DRGs, coding, utilization review, core measures, patient safety goals, and/or quality data reporting, project management leadership roles, team leader/assistant manager or coordinator experience are all desired.

Loyola is an equal opportunity and affirmative action employer/educator and is committed to a drug-free and smoke-free workplace.

Compensation: Competitive
Requirements: Comprehensive
Preferred Start Date: Open
Position Type:  Full time
 


Date of Request: July 1, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Meritus-Hagerstown Hospital
Location of Facility / Hospital: Hagerstown, MD
Contact Person: Talent Acquisition - 1-866-PRECYSE x2
Contact Address: careers@precyse.com

Job Description: Requirements: RN, CCDS or CDIP a plus Associate's Degree in a relevant field preferred or combination of equivalent education and experience Three plus years' clinically well-rounded medical or surgical aute care nursing experience preferred Critical care nursing experience preferred Knowledge of clinical documentation guidelines and CDI program implementation experience preferred Knowledge of medical terminology, ICD-9-CM and CPT-4 codes Apply: http://careers.precyse.com/view-job/?jobid=1038

Compensation: Negotiable
Benefits:
Preferred Start Date: July 1, 2014
Position Type: Full-time


 

Date of Request: July 1, 2014
Job Title: Director Clinical Documentation
Name of Facility / Hospital: Anthelio Healthcare Solutions
Location of Facility / Hospital: Various
Contact Person: Ashley Eddins
Contact Address: Ashley.Eddins@AnthelioHealth.com
Job Description: Anthelio Healthcare Solutions is looking for a independent leaders with excellent communication skills to manage, establish and maintain successful CDI programs. The CDI director will interact and educate CDI teams, validate best process, communicate CDI benefits and data with hospital administration and teach physicians about CDI during meeting and annual new resident orientation. Requirements:•Bachelor's Degree in Nursing or related field, required. Masters Degree, preferred •License to practice as a Registered Professional Nurse in Michigan •Minimum of five (5) years of CDI management experience •Minimum of seven (7) years of nursing experience in an acute care setting. *Willing to travel up to 40%- 50% yearly
Compensation: Competetive
Benefits: Competitive
Preferred Start Date: July 21, 2014
Position Type: Full-time

Date of Request: June 27, 2014
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Franciscan Alliance
Location of Facility/Hospital: NorthWest Indiana
Contact Person/email/phone:  Heather Schwandt
Contact Address: Heather.schwandt@franciscanalliance.org

Job Description:  This position is responsible for improving the overall quality and completeness of clinical documentation. This individual facilitates modifications to clinical documentation through extensive concurrent interaction with physicians and coding staff to ensure that the appropriate reimbursement and clinical severity is captured for the level of service rendered. The role supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. 

  • Provide daily  clinical evaluation of the medical record documentation by the Medical Staff and healthcare team in accordance with the hospital’s designated clinical documentation policies and procedures
  • Communicate with physicians to ensure accurate and complete documentation is in the medical record. Communication is face to face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness
  • Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team
  • Communicate with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients. 


Compensation:  Competitive Salary and Benefits
Benefits:  Franciscan Alliance offers a comprehensive set of employee benefits including: competitive salary, paid time off, health, dental, vision, life and disability insurance as well as tuition assistance and a savings and retirement plan.
Preferred Start Date:
Position Type: Full-Time

 


Date of Request: June 27, 2014
Job Title:  Clinical Documentation QA/Training Specialist
Name of Facility/Hospital: Franciscan Alliance
Location of Facility/Hospital: NorthWest Indiana
Contact Person/email/phone:  Heather Schwandt
Contact Address: Heather.schwandt@franciscanalliance.org

Job Description:  This position is responsible for internal audit of CDI process and compliance. With the results of these audits, this position will identify areas for process improvement.  Based on these findings, action plans will be developed and disseminated to CDI Director and RMD Directors who will correct knowledge gaps though on-site education and training for CDI and Coding. This position will also work closely with 3M system application analyst to optimize use of 3M 360 Encompass, identifying gaps and areas for ideal performance.  Additionally, this position will be current on CDI best practice standards and support the mission, vision and values of CDI program. 

In addition to the responsibilities described above, the role may include other responsibilities and duties assigned based upon Franciscan Alliance needs or requirements. 

Compensation:  Competitive Salary and Benefits
Benefits: Franciscan Alliance offers a comprehensive set of employee benefits including: competitive salary, paid time off, health, dental, vision, life and disability insurance as well as tuition assistance and a savings and retirement plan.
Preferred Start Date:
Position Type: Full-Time
 


Date of Request: June 27, 2014
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: UCLA Health
Location of Facility/Hospital: Los Angeles, CA
Contact Person/email/phone:  Bella Aivazian
Contact Address: IAivazian@mednet.ucla.edu

Job Description: Advance your career. Move us forward.
At UCLA Health, our success is measured by the quality of the patient experience. When you join our team, you’ll play a vital role in moving our organization forward and maintaining our reputation for excellence in patient care. We value the ideas and contributions of every individual on our team, because our success begins with U. Join us and see how far we can advance together. 

Clinical Documentation Specialist - In this position, you’ll provide support that helps drive the daily success of our Clinical Documentation Improvement (CDI) Program. This will involve conducting concurrent reviews and evaluations of medical records to ensure the accuracy and completeness of clinical documentation, providing education regarding documentation guidelines to the patient care team, assisting with the coding and processing of inpatient claims, and regularly assessing clinical documentation practices to identify opportunities for improvement.      
  
To qualify, you must have current CA RN licensure and at least 3 years of clinical hospital experience (or an equivalent combination of education and experience in case or utilization management or clinical documentation review). Recent experience in care management, quality utilization or coding is also required, as is proficiency with word processing and database software.   
 
For more information visit www.uclahealthcareers.org or contact Bella Aivazian at IAivazian@mednet.ucla.edu. Apply directly at www.ecentralmetrics.com/url/?u=69462642531-169.

EOE

Compensation:
Benefits: As a valued full-time member of our staff, you’ll enjoy outstanding benefits, including health, dental and vision plans that begin on your first day and a retirement plan that is one of the best in the nation. You will also receive 13 paid holidays and 15 vacation days beginning your first year. Relocation assistance is available for those who qualify.
Preferred Start Date:
Position Type: Full-Time
 

 


Date of Request: June 27, 2014
Job Title: Clinical Documentation Improvement Program Manager
Name of Facility/Hospital: UCLA Health
Location of Facility/Hospital: Los Angeles, CA
Contact Person/email/phone:  Bella Aivazian
Contact Address: IAivazian@mednet.ucla.edu

Job Description: Clinical Documentation Improvement (CDI) Program Manager - When you join UCLA Health, you’ll play a vital role in moving our organization forward and maintaining our reputation for excellence in patient care. We value the ideas and contributions of every individual on our team, because our success begins with U. In this position, you will develop and oversee a standardized, system-wide CDI Program, supervise a small team of CDI specialists; educate clinicians; help review and optimize electronic documentation templates; resolve coding and documentation issues; and analyze monthly CDI reports to identify opportunities for improvement.     
 
Qualifications include:

  • Bachelor’s degree in Nursing, Case Management, Utilization Management, Health Care or related field (or equivalent experience)
  • 3-5+ years’ management experience (includes 3+ years of current clinical documentation experience or equivalent in case management, utilization management or chart review)
  • Experience using electronic health records

 
Preferred qualifications include:

  • Master’s degree in Nursing, Case Management, Utilization Management, Health Care or related field
  • Current CA RN license
  • Certification in clinical documentation improvement (CCDS, CDIP, etc.)
  • Experience in an academic medical center
  • Proficiency with Epic and Claro software

 
Visit www.uclahealthcareers.org or contact Bella Aivazian at IAivazian@mednet.ucla.edu. Apply directly at www.ecentralmetrics.com/url/?u=45982642530-169.


Date of Request: June 26, 2014
Job Title: Clinical Documentation/Medical Record Review
Name of Facility / Hospital: St. Peter's Health Partners
Location of Facility / Hospital: Albany and Troy, NY
Contact Person: Audrey Scialdone
Contact Address: audrey.scialdone@sphp.com

Job Description: Full-time day shift. To provide clinically based concurrent review of inpatient medical records to assess and procure accurate and complete documentation of the patient's diagnoses and procedures. The goal of concurrent review is to facilitate clinically appropriate physician/clinical documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness and risk of mortality to support correct coding, reimbursement and quality initiatives.
EDUCATION REQUIREMENTS:
Graduate of Nursing School, Bachelor's degree required
Current New York State License 3.CCDS/CCS certification preferred
EXPERIENCE REQUIREMENTS:
Minimum 5 years clinical experience with acute care inpatient experience
Previous Clinical Documentation experience preferred but not required.
Experience with criteria-based chart review, such as Case Management, Utilization Management, Managed care, Quality Improvement preferred.
Knowledge of healthcare regulations, including Medicare reimbursement system, coding structure and documentation requirements preferred.
Strong computer, verbal, and written skills required.

Compensation: Commensurate with experience
Benefits:
Preferred Start Date: July 21, 2014
Position Type: Full-time
 


Date of Request: June 26, 2014
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: MedStar Montgomery Medical Center
Location of Facility / Hospital: Olney, MD
Contact Person: Nick Piazza
Contact Address: npiazza@medstarmontgomery.org

Job Description: The Clinical Documentation Specialist (CDS) works closely with physicians, Health Information Management, Coding, Nursing and other ancillary healthcare team members to ensure that the clinical documentation is complete, accurate and representative of the complexity of the care provided to the patient. Qualified applicants will have an RN degree, BSN preferred. Must have at least 5 years of clinical experience, preferably in multiple clinical areas. Clinical Documentation Specialist certification (CDIP or CCDS) preferred; or obtain within 12 months of becoming eligible for the exam.

Compensation: Competitive
Benefits: Full Benefits package to include Health, Dental and Vision insurance as well as a retirement savings plan; Fidelity Investments. We offer a generous paid time off program as well.
Preferred Start Date: July 1, 2014
Position Type: Full-time


Date of Request: June 25, 2014
Job Title: CDI
Name of Facility / Hospital: Seagate Consultants
Location of Facility / Hospital: Nashville, TN
Contact Person: Susan Parker
Contact Address: seagatejobs@bellsouth.net

Job Description: Seeking a credentialed, experienced CDI professional. Master's degree would be a plus. 3 yrs CDI and I-9, MS-DRG experience required.

Compensation: Competitive
Benefits:
Preferred Start Date: July 25, 2014
Position Type: Full-time
 


Has your EHR improved physician CDI adoption and query response rates?
We still are on paper
Don't know, we are in the middle of transitioning to electronic records
It's worse than when we had paper charts
I see no difference
Some inconsistent improvement
Big improvement, the doctors love it!
We do't trend or measure this
Our doctors threw the computers out the window in frustration
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