Facilitates documentation improvement . . . queries physicians . . . ensures medical record accuracy . . .  promotes data quality . . . encourages communication. . . 

If you have a CDI-related job vacancy to fill, click on the link above (you must be logged in) to post your opening on the ACDIS Job Board. 

ACDIS members may post up to four openings per year. Each post will remain on the board for 30 days. Non-ACDIS members can post openings for a fee of $150 per job description by contacting ACDIS member relations specialist Susan Calabro at customerservice@cdiassociation.com, or by phone at 877/240-6586.  

Date of Request: February 5, 2010
Job Title: CDS
Name of Facility / Hospital: Johns Hopkins Hospital
Location of Facility / Hospital: Baltimore, Maryland
Contact Person: Paul Allen
Contact Address: pallen1@jhmi.edu
Job Description: - Bachelor's - 3 years POSITION SUMMARY: This position utilizes advanced knowledge and clinical monitoring expertise to direct effort toward the improvement of clinical documentation and advancement of accurate coding through the roles of educator validation consultant and research. The position also requires a high level of communication with clinical and administrative staff. This individual will serve as a liaison and reference person for the administrators, physicians, and clinical systems support personnel. COMPETENCIES: - Requires analytical ability to allow for interpretation of clinical data in all clinical specialties to determine appropriate diagnoses supported by clinically pertinent data, ICD-9-CM and CPT-4 coding. - Requires excellent written, oral communication and interpersonal skills. Ability to effectively communicate with all Hospital practitioners is essential. - Requires the ability to provide constructive feedback for the development of coding staff. - Requires the ability to develop and conduct in-service training relative to coding for individual practitioners and groups of clinicians. - Must demonstrate knowledge of and experience with documentation improvement techniques. Requires Certified Coding Specialist (CCS) certification; previous DRG validation is required. Requires minimum three years previous validation experience and five plus years of coding and clinical documentation experience in an acute hospital environment. - Requires proficie
Compensation: TBD
Benefits: 1. Go to www.hopkinshospital.org  2. Click on Employment opportunities 3. Click on Jobs 4. Scroll down to Req-Number Search and put in 25536 5. Click on Search
Preferred Start Date: February 5, 2010
Position Type: Full-time

Date of Request: 02/4/09
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: The Methodist Hospital
Location of Facility/Hospital: Houston, Medical Center
Contact Person/email/phone:  ypalmer@tmhs.org (please apply online at www.methodisthealth.com)
Contact Address: 6560 Fannin St. Suite STB1-20, Houston, TX 77030
Job Description: Responsible for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the concurrent clinical reviewers, medical record coders, and physicians to improve documentation and reimbursement for the Hospital. Facilitates clarification and specificity to clinical documentation through appropriate interaction with physicians advocating for appropriate reimbursement relative to the patients care, resources consumed and the level of services rendered. Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes to reflect the patients true severity of illness and intensity of care. Educates all members of the health care team on an ongoing basis.Registered Nurse with current Texas licensure, BSN preferred.At least five years recent clinical experience in a hospital setting. Utilization review or coding experience is preferred.
Compensation: 
Benefits: 
Preferred Start Date: 
Position Type: Full Time 

Date of Request: February 3, 2010
Job Title: RN Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Augusta Health
Location of Facility / Hospital: Fishersville, Virginia
Contact Person: Apply Online
Contact Address: Employment@augustamed.com
Job Description: Review inpatient/observation medical nrecords to identify and facilitate clinical documentation improvement through extensive daily interaction with physicians, caregivers, case management and coding staff. Provides for a complete medical record at patient discharge which accurately captures the patient's acuity and severity levels. Ensures documentation that results in accurate clinical data to measure and report outcomes which support appropriate reimbursement for the level of services rendered to the aptient. Educates all members of the patient care team on the importance of complete and accurate clinical documentation as it relates to patient acuity, severity of illness, physician profiling/scorecards/core measures, and regulatory and reimbursement guidelines. Assess improvement in the quality of clinical documentation for area of responsibility. Works with minimal supervision. must be able to communicate verbally and in writin to individuals of varying educational levels. Demonstrated ability to use technology and appropriate software. Must be RN licensed by the Commonwealth of Virginia, BSN required. Quaified applicants must have 5 years of recent patient care/clinical experience in a healthcare setting. Will work occasional evening, weekend, and holidays.
Compensation: Minimum pay: 22.40
Benefits: We offer salary commensurate with experience and a gnerous benefit package, which includes medical, dental and lif insurance, paid time off, tuition reimbursement,401K, on site day care, and on site fitness center.
Preferred Start Date: April 5, 2010
Position Type: Full-time

Date of Request: 1/21/2010
Job Title:  Clinical Documentation Specialist RN
Name of Facility/Hospital: Rush University Medical Center
Location of Facility/Hospital: Chicago, IL
Contact: Bekki Chapman, bekki.chapman@tmp.com, 312.321.5834
Contact Address: 444 N. Michigan Ave., Chicago, Il 60611
Job Description: Rush University Medical Center has dynamic opportunities available for the experienced registered nurse, as Clinical Documentation Specialist RN. In this detail-oriented role you will demonstrate expertise in documentation principles & improve the quality & completeness of clinical documentation. The CDS acts as a liaison between clinical & coding teams to ensure documentation accurately reflects each patient's severity of illness & supports quality improvement initiatives. Requirements: Illinois-licensed RN; have at least 3 years clinical nursing experience/medical-surgical care management; BSN & clinical documentation improvement experience highly desired. Join Rush & experience your career the way it should be. Please apply online at www.jobsatrush.com and search for 2009-0955. EOE M/F/D/V
Compensation: TBD
Benefits: Competitive
Preferred Start Date: Immediate
Position Type: Full-Time

 Date of Request: January 20, 2010
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Maxim Health Information Services
Location of Facility / Hospital: Los Angeles, CA
Contact Person: Maxim Health Information Services
Contact Address: careers@maxhealth.com
Job Description: Maxim Health Information Services, a division of Maxim Healthcare Services (MHIS), is a leader in providing superior quality coding services, auditing and review services, education and training, clinical documentation improvement services, HIM outsourcing solutions, and services to the Department of Veterans Affairs' Medical Centers. Position MHIS is seeking qualified RN’s to serve as Interim CDI Specialists in Los Angeles, CA. Local or Travel considered. Responsibilities: Review medical records concurrently to meet regulatory demands including: •identify gaps in documentation •address Core Measures •abstract data as directed •query physicians as needed •provide regulatory standards audits as needed CDIS qualifications: •Candidates must be credentialed as an RN (C-CDIS or CCS is a plus) with a strong clinical background - minimum of 3 years in Med-Surg, ICU or Surgery and 2 years CDI experience •Bonus Qualifications-Case Management / Utilization review (Not Req.) Certificate in CDI, CDI consulting experience •Minimal travel between client hospitals •M-F 8hr days, no weekends CDI Client-specific expectations: •Facilitate communication and documentation opportunities among client coders, physicians, and utilization nurses •Emphasis is to facilitate correct MS-DRG, APR-DRG, POA via code assignments •Proactive RAC required documentation •Appropriate healthcare facility reimbursement •Local or Travel
Compensation: $75K-$83K/ year
Benefits: Benefits: See MHIS website www.maximhealthinformationservices.com Superior Solutions, Exceptional Careers. EOE/AAE
Preferred Start Date: January 20, 2010
Position Type: Full-time

Date of Request: January 19, 2010
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Providence Holy Cross
Location of Facility / Hospital: Mission Hills, CA
Contact Person: Gus Palmos
Contact Address: gus.palmos@providence.org
Job Description: Nationally recognized for clinical performance and trauma care, Providence Holy Cross Medical Center is a 254-bed, level II trauma center in Mission Hills, California. We are the only community hospital in all of Los Angeles County to achieve Magnet Status for Nursing Excellence. In addition, HealthGrades® has recognized Providence Holy Cross as being among the top 5% of all hospitals in the nation for overall clinical performance – for the last 4 years in a row! We have proudly been placed on the U.S.News & World Report’s Best Hospitals List, the Oncology Nursing Society’s Top Employer in the Nation, recognized by the Los Angeles Business Journal as one of the best places to work in Los Angeles (2007) and named Best Hospital in the Valley and best place to work by the San Fernando Valley Business Journal in 2008. Providence Health & Services cares about the people and the lives that our ministries touch each and every day. We are continually driven by the caring tradition of our heritage – the foundation of our Mission and Core Values – to embrace respect, compassion, justice, excellence and stewardship. With a rich past reaching back more than 65 years in Southern California, and 150 years in total, Providence Health & Services today celebrates unprecedented growth, recognition for top quality health care, a vibrant employee culture where new ideas are encouraged and a drive to help the underprivileged - all with an eye toward the future. POSITION SU
Compensation: Negotiable
Benefits:
Preferred Start Date: March 22, 2010
Position Type: Full-time

Date of Request: 1/18/10
Job Title: Clinical Documentation Specialist
Name of Facility/Hospital: Mount Carmel
Location of Facility/Hospital: Columbus, OH
Contact Person/email/phone: Interested candidates, please visit the “Jobs and Volunteering” page on our website to view full position descriptions and apply. www.mountcarmelhealth.com
Contact Address:
Job Description: As the Clinical Documentation Specialist, you will review medical records and assist physicians in removing the barriers between clinical and coding languages to allow more specific and complete documentation; responsible for communicating with physicians; analyzing data; provide education on documentation requirements. Candidates must have: Current license to practice as registered nurse in the State of Ohio; Min. 5 years acute care experience required; Utilization/Case Management, managed care, or Clinical Documentation required with experience in ICD-9 coding conventions and DRG methodology preferred.; Degree in Health Information Management with credentials of RHIA, RHIT, or CCS with extensive clinical knowledge and a min. 5 years inpatient coding experience will be considered in lieu of a RN.
Compensation: $20.92 - $34.05 (Commensurate with Experience)
Benefits: Mount Carmel offers a competitive salary and benefits package, including tuition assistance, medical/dental coverage, childcare discounts and more. Mount Carmel is an equal opportunity employer committed to a culturally diverse workforce.
Preferred Start Date: 2/1/2010
Position Type: Full-time
Date of Request: January 18, 2010

Date of Request: January 13, 2010
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: NHS Solutions
Location of Facility / Hospital: Arizona, Texas
Contact Person: Scott Entinger or Devon Santoro
Contact Address: scotte@nhsscorp.com, devons@nhsscorp.com    
Job Description: The Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation. Performs concurrent record reviews on all selected admissions and documents findings. Facilitates modifications to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, care management, nursing staff, other patient care givers and medical record coding staff. Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve accuracy of patient severity of illness, risk of mortality and final code assignment. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes. Monitors and evaluates effectiveness of concurrent chart review and query outcomes at designated intervals. Reports concurrent chart review and query outcomes to hospital departments and committees at designated intervals. Maintains accurate records of review activities to comply with departmental and regulatory agency guidelines. Understands and complies with policies and procedures related to confidentiality of medical records. Identifies opportunities for intradepartmental and interdepartmental operational improvements. Performs monthly closed chart reviews and serves on the Chart Documentation Committee. Participates in program related meetings, physician and staff education, staff devel
Compensation: 85-95K plus relocation
Benefits: Benefits summary upon request
Preferred Start Date: January 13, 2010
Position Type: Full-time

Date of Request: January 12, 2010
Job Title: Documentation Review Specialist
Name of Facility / Hospital: Elmhurst Memorial Healthcare
Location of Facility / Hospital: Elmhurst, IL
Contact Person: Christina Purcell
Contact Address: cpurcel@emhc.org  
Job Description:  Responsible for improving the overall quality and completeness of clinical documentation. Facilitates complete, accurate clinical documentation through interaction with physicians, nursing staff and other members of the healthcare team. Provides education to all members of the healthcare team regarding documentation needs and changes to documentation guidelines on an ongoing basis. Qualifications: Demonstrated leadership skills to lead process and elicit enthusiasm and cooperation; strong interpersonal, communication and organizational skills; Information Systems knowledge and working knowledge of word processing software. Education: Graduate of an accredited school of nursing. Experience: Three years of Medical/Surgical Nursing and two years of UR/QA experience desirable. License: Current registration and license as Registered Nurse in the state of Illinois.
Compensation: Market-based compensation
Benefits: Total compensation and rewards package including new exclusive wellness program for employees, PTO, health, dental, vision, short and long term disability, 403b and pension. We are a Planetree Hospital. Come be a part of the new replacement hospital opening in Spring 2011.
Preferred Start Date: January 12, 2010
Position Type: Full-time

Date of Request: January 12, 2010
Job Title: CDI Specialists
Name of Facility / Hospital: Precyse Solutions
Location of Facility / Hospital: Travel Position 50-75% Approximately
Contact Person: Carole Gammarino
Contact Address: cgammarino@precysesolutions.com  
Job Description: Minimum 3+ years auditing experience. Expert knowledge in MS-DRG reimbursement, ICD-9-CM coding. Expert knowledge in anatomy, patho-physiology, medical terminology, and disease processes. RN preferred with an RHIA, RHIT, CCS. In general, the Clinical Documentation Improvement Specialist (CDIS) is responsible for reviewing concurrent documentation of the medical record and partnering with physicians to achieve explicit documentation to support accurate inpatient coding and legitimate MS-DRG assignment.
Compensation: Salaried
Benefits: Precyse offers anexcellend compensation package to include medical/dental/401K/and PTO.
Preferred Start Date: January 12, 2010
Position Type: Full-time

Date of Request: January 12, 2010
Job Title: Documentation Improvement Specialist
Name of Facility / Hospital: Lovelace Medical Center
Location of Facility / Hospital: Albuquerque, New Mexico
Contact Person: Julie Healey
Contact Address: Julie.Healey@lovelace.com  
Job Description: Works in tandem with medical staff, nursing staff, other healthcare professionals, and coding staff to ensure accurate capture of clinical information through chart review, querying, and education. Specialists review charts for accurate documentation for reimbursement purposes and for designated core measures and quality indicators. Ensures the overall quality and completeness of medical record clinical documentation. Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers, and coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Educates all members of the patient care team on an ongoing basis.
Compensation: Negotiable
Benefits: Generous benefit plan that includes, health and life benefits, PTO
Preferred Start Date: January 12, 2010
Position Type: Full-time

Date of Request: January 8, 2010
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: NHS Solutions
Location of Facility / Hospital: New York/New Jersey and Massachussets
Contact Person: Scott Entinger or Devon Santoro
Contact Address: scotte@nhsscorp.com, devons@nhsscorp.com
Job Description: An opportunity to join established and growing programs. Position Summary: This position uses clinical knowledge and knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity and risk of mortality. In addition to have expertise in understanding the clinical documentation required for the completeness of the patient records using a multidisciplinary team process. Education/License/Certification: Graduate from an accredited school of nursing (BSN required). Current licensure to practice as a Registered Nurse. Or Graduate from an accredited RHIA or RHIT program (AA or BS/BA required); Or Medical Doctor license outside/inside the US. Qualifications: Minimum of 1-3 years clinical experience (i.e. inpatient, clinical documentation, discharge planning, case management. Strong interpersonal, communication (verbal, non-verbal, and listening skills). Understand Adult Learning Theory. Competent computer skills including word processing, spreadsheets, and presentation software. Must have strong analytical skills. Understand coding classifications systems such as, but not limited to ICD-9 CM, Current Procedural Terminology (CPT), Healthcare Common Procedural Coding (HCPCS), MS-DRG, HCC strongly preferred. Demonstrated ability to conduct and interpret quantitative/qualitative analysis. Proven leadership skills in project management and consulting. Must exhibit efficiency, collaboration and openness.
Compensation: 80-110K
Benefits: Benefits summary upon request
Preferred Start Date: January 8, 2010
Position Type: Full-time

Date of Request: January 7, 2010
Job Title: Clinical Documentation Specialist (CDS)
Name of Facility / Hospital: Chesapeake Urology Associates, P.A.
Location of Facility / Hospital: Owings Mills, MD
Contact Person: Michael Hwang
Contact Address: mhwang@cua.md
Job Description: Chesapeake Urology Associates, the premier Urology practice in Maryland is seeking a CDS for our Glen Burnie office. This is a newly created position. Reporting directly to the Chief Medical Officer, they will be responsible for reviewing medical records to facilitate the accurate representation of the severity of illness. Responsibilities: •Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation. •Facilitates necessary documentation in the medical record through extensive interaction with physicians, nursing staff, and other Reimbursement team members to ensure the most appropriate reimbursement is achieved for the level of service rendered to all patients. •Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and pay for performance diagnosis specific quality outcomes. •Educates all members of the patient care team regarding clinical documentation needs, changes to clinical documentation guidelines, and pay for performance documentation requirement. Requirements: •Associates Degree in Nursing; BSN preferred. MD lic required. Seven+ years clinical medical or surgical acute care nursing. Urology exp preferred plus 2 years of chart review experience req. Billing or reimbursement experience preferred. CCDS Certification Desirable. Exp with EHR a plus.
Compensation: $68K-$80K annual
Benefits: Health, Dental, and Life Insurance. Flexible Spending Account, 401K Plan with an employer contribution. Paid holidays and regular business hours Monday-Friday. Excellent working environment, great staff, competitive salary, tuition reimbursement, and free parking offered. For more information, please visit our website at www.chesapeakeurology.com.
Preferred Start Date: February 2, 2010
Position Type: Full-time , Permanent