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: April 23, 2014
Job Title: Clinical Documentation Improvement professionals
Name of Facility / Hospital: Physicians Regional Medical Center
Location of Facility / Hospital: Knoxville TN
Contact Person: Elizabeth Ankrom
Contact Address: Elizabeth.ankrom@hma.com

Job Description: Physicians Regional Medical Center is looking for Clinical Documentation Improvement professionals who are detail oriented, with exceptional critical thinking skills and the ability to prioritize and analyze data quickly and accurately. Will possess a broad knowledge of documentation requirements for accurate ICD-9-CM, ICD-10-CM/PCS and MS-DRG assignment. Adherence to official coding compliance regulations, corporate policies developed to ensure accurate billing, and industry best-practice is essential. 2 Full time positions available for a Clinical Documentation Specialists who work closely with physicians and 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. Thoroughly review records to identify current and potential principal and secondary diagnoses and quality of the patient record. Requirements:
Minimum of 2 years Clinical Documentation Improvement, ICD-9-CM and DRGs required.
Must be credentialed in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Nurse (RN), Registered Health Information Administrator (RHIA)
Experience in providing physician and coder education in an acute care setting preferred.
Must also be able to communicate effectively, both verbally and in writing, with clinical staff.

Compensation: Negotiable
Benefits: Full benefit package available
Preferred Start Date: April 23, 2014
Position Type: Full-time


Date of Request: April 22, 2014
Job Title: Clinical Documentation Manager
Name of Facility / Hospital: Good Shepherd Medical Center
Location of Facility / Hospital: Longview, TX
Contact Person: Colin Brady
Contact Address: mcbrady@gsmc.org

Job Description: The Clinical Documentation Manager provides concentrated daily oversight of the Clinical Documentation Improvement Team of registered nurses. The CD Manager will work in association with the CDI clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation in the medical record.
Minimum Qualifications:

  • Education: Prefer BS in Nursing of Registered Nurse with ten years acute care experience with recent management or supervisory experience
  • Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting
  • Clinical Documentation Improvement (CDI) experience
  • Licensure/Certification: Currently licensed as a Registered Nurse, CCS or Coding experience desirable


Compensation: Per experience
Benefits:
Preferred Start Date: April 22, 2014
Position Type: Full-time
 


Date of Request: April 22, 2014
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Good Shepherd Medical Center
Location of Facility / Hospital: Longview, TX
Contact Person: Colin Brady
Contact Address: mcbrady@gsmc.org

Job Description: Responsible for improving the overall quality and completeness of clinical documentation on a concurrent basis through daily review of recent admission records and interaction with MDs, coders, case management, and nurses as needed in order to improve capture of clinical severity for the level of service rendered to all patients especially those services with a DRG based reimbursement. Responsible for identifying process improvement opportunities and supporting the timely and accurate capture of measurements to improve patient care, as well as MD and hospital outcomes. RN license for Texas required, BSN or RN with related Bachelor's degree, preferred 1 yr clinical experience required, 3 plus years preferred strong analytical skill, great communication skills, and ability to communicate with phyicians to achieve goals.

Compensation: per experience
Benefits:
Preferred Start Date: April 22, 2014
Position Type: Full-time
 



Date of Request:  April 16, 2014
Job Title:  Clinical Documentation Improvement Specialist – Clinical
Name of Facility/Hospital:  Children’s Hospital Central California
Location of Facility/Hospital:  Madera, CA
Contact Person:  Dennis Yee, CHCR
Contact Address:  dyee@childrenscentralcal.org

Job Description:  The Clinical Documentation Improvement Specialist - Clinical will conduct concurrent review of clinical documentation in the medical record to obtain accurate and complete provider documentation for all conditions and procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Collaborates extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve quality and completeness of documentation of care provided and coded. The Clinical Documentation Specialist-Clinical evaluates admission criteria, conducts concurrent reviews including initial, regular and extended stay reviews on a majority of admissions. Serves as a resource for RN Case Managers and providers to assign the correct patient status and level of care and supports the medical necessity of services. Provide follow-up education to medical staff regarding high-quality clinical documentation guidelines and practices. The position requires strong understanding of the requirements for clinical coding and billing according to the rules of Medicare, Medicaid, and commercial health plans along with knowledge of Interqual and medical necessity criteria. This position requires: A) an active clinical license (non-RN), or Associates Degree in Nursing and current California Registered Nurse License, or Bachelors degree in healthcare related field; B) minimum of 3 years clinical experience in an acute care setting.

Compensation:  Competitive salary offered based on experience, relocation assistance offered
Benefits:  Comprehensive benefits package offered including medical, dental, vision, two pension plans (403b w/60% employer match after first year of employment), 5 weeks PTO and more!  Please apply online at www.childrenscentralcal.org
Preferred Start Date:  ASAP
Position Type:  Full-time
 


Date of Request:  April 22, 2014
Job Title:  Clinical Documentation Improvement Specialist – NonClinical
Name of Facility/Hospital:  Children’s Hospital Central California
Location of Facility/Hospital:  Madera, CA
Contact Person:  Dennis Yee, CHCR
Contact Address:  dyee@childrenscentralcal.org

Job Description:  The HIM Clinical Documentation Improvement Specialist - NonClincal will assist in concurrent by assigning the appropriate diagnosis, procedures and working DRG and conducts retrospective reviews to evaluate the clinical documentation in the medical record to capture missed conditions and procedures that are supported by the clinical documentation. Performs Clinical Documentation Improvement report generation for scorecard and dashboard reporting, scorecard maintenance, and data analysis. Serves as a liaison and resource for coder, Clinical Documentation Improvement Specialist - Clinical, and the documenting provider.  Works with the coding staff to provide guidance to ensure that appropriate clinical severity is captured for the level of service rendered to all patients. The CDIS will also perform focused reviews at the discretion of the Director CDI/Coding.
This position requires: A) a High School Diploma/GED. Associate's Degree or Bachelor's Degree in Health Information Management or related health care area preferred; B) Certified Coding Specialist (CCS) within 18 months of hire or Clinical Documentation Improvement Specialist (CDIS) certification. A Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred; and C) a minimum of 5 years work related experience in a Health Information Management Department or health related field.

Compensation:  Competitive salary offered based on experience, relocation assistance offered
Benefits:  Comprehensive benefits package offered including medical, dental, vision, two pension plans (403b w/60% employer match after first year of employment), 5 weeks PTO and more!  Please apply online at www.childrenscentralcal.org
Preferred Start Date:  ASAP
Position Type:  Full-time


Date of Request: 4/17/14
Job Title:  Manager, Clinical Documentation
Name of Facility/Hospital:  ProHealth Care
Location of Facility/Hospital:  Pewaukee, WI
Contact Person/email/phone: Wendy Klein, 262-928-4441, wendy.klein@phci.org
Contact Address: 725 American Avenue, Waukesha, WI 53188

Job Description: Responsible for daily oversight of the Clinical Documentation Improvement Team. This position is a full time leadership role that will work collaboratively with physicians, HIM
professionals, and other clinicians to facilitate accurate and timely clinical documentation in the medical record. This position reports to the Director of Performance Excellence.
Qualifications

  • Bachelor's degree in Nursing required.
  • Licensed as a Registered Nurse in the state of Wisconsin.
  • Ten (10) years' prior experience in an acute care setting.
  • Advanced clinical expertise and extensive knowledge of complex disease
  • processes with broad-based clinical experience in an inpatient setting.
  • Minimum 2 years leadership experience strongly preferred. ??

Apply Online at: www.prohealthcare.org/employment. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

Compensation: Competitive pay
Benefits: Competitive benefits. For more information, visit: www.prohealthcare.org
Preferred Start Date: Immediate
Position Type: Management

 

 


Date of Request: April 21, 2014
Job Title: RN Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Massachusetts General Hospital
Location of Facility / Hospital: Boston, Massachusetts
Contact Person: Human Resources
Contact Address: koday@partners.org

Job Description:

  • Performs concurrent reviews of selected inpatient admissions to include assignment of working DRG, identify complications and co-morbid conditions, specific co-existing conditions, and as necessary follows up with physician, physician's assistant, or nurse practitioner responsible for care of patient for clarification of clinical significance and appropriate documentation.
  • Assigns the working DRG based on coding guidelines/regulations issued by AHA (Coding Clinic), CMS, and AHIMA.
  • Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional coding literature regularly.
  • Interprets clinical information in medical record, evaluates medications, vital signs, surgical outcomes etc. to identify potential diagnoses.
  • Identifies opportunities for education to improve medical record documentation for severity of illness.
  • Communicates verbally, via email or in writing with physician, physician's assistant, or nurse practitioner to obtain/clarify more specific principle diagnoses or co-morbidities and complications. Requests clarification of existing documentation that most accurately reflects patient severity.
  • RN with current Massachusetts license.
  • Minimum of 6 years acute Medical/Surgical nursing experience preferred. Previous CDI experience preferred. Please apply online at: http://www.massgeneral.org/careers/


Compensation: Based on experience.
Benefits: Full benefit package offered
Preferred Start Date: May 5, 2014
Position Type: Full-time


Date of Request: April 18, 2014
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: UASI - United Audit Systems
Location of Facility / Hospital: Consulting Position
Contact Person: Julie Andol, Human Resources
Contact Address: Julie.Andol@UASISolutions.com

Job Description: UASI is seeking a Clinical Documentation Improvement (CDI) Specialist for a full time, permanent position. The Clinical Documentation Improvement Specialist will analyze and interpret medical record documentation and formulate appropriate physician queries which will improve the quality, completeness and accuracy of the medical record. The ideal CDI Specialist will have a clinical background with a thorough knowledge of medical coding guidelines, CMS, and private payer regulations. The ability to communicate with physicians to promote appropriate clinical documentation and quality improvement is a must. Additional requirements include:

  • RHIA, RHIT, CCS, CCDS or CDIP credential preferred, but not mandatory
  • Active RN license, BSN preferred
  • Experience with one or all of the following systems: JATA, 3M, Navigant
  • 3-5 year's relevant CDI experience in an acute care setting
  • The ability to travel is a plus This position will require a minimum of 50% travel, and the ability to travel over 50% is a significant plus.

The CDI Specialist will be assisting client facilities' CDI Programs, as well as providing CDI Support to UASI's internal team.

Compensation: $100,000+ annually
Benefits: Comprehensive benefit package includes full medical benefits, flexible work schedules, and 27 PTO days annually, plus training opportunities, paid AHIMA/ACDIS dues, corporate credit cards for expenses, and reference materials to ensure employee success.
Preferred Start Date: May 1, 2014
Position Type: Full-time , Permanent


Date of Request: April 17, 2014
Job Title: DRG Specialist
Name of Facility/Hospital: UPMC Presbyterian
Location of Facility/Hospital: Remote – Training in Pittsburg, PA
Contact Person/email/phone: http://bit.ly/1gHBa0Y
Contact Address:

Job Description: Job ID: 2052618
Basic Qualifications:

  • Three years of previous clinical acute care medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's;
  • OR completion of Health Records Administration program (RHIA) or Accredited Record Technician (RHIT) AND three years of experience with the Prospective Payment System and DRG selection;
  • OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.
  • Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review background is highly preferred.
  • Ability to communicate with staff, physicians, healthcare providers, and other health care system personnel in a professional and diplomatic manner required.

View the complete job description and apply today at http://bit.ly/1gHBa0Y

Compensation:
Negotiable
Benefits: Varitey of benefit options available
Compensation: Negotiable
Benefits: Date of Request:


Date of Request: April 14, 2014
Job Title: Clinical Documentation Specialist (RN, BSN)
Name of Facility / Hospital: Thomas Jefferson University Hospital
Location of Facility / Hospital: Philadelphia, PA
Contact Person: Mary Marczyk RN, MSN, CHCR
Contact Address: mary.marczyk@jeffersonhospital.org

Job Description: Jefferson is looking for Clinical Documentation Improvement professionals who are detail oriented, with exceptional critical thinking skills and the ability to prioritize and analyze data quickly and accurately. You should also be comfortable teaching in group settings and on the fly because a large part of the job is educating healthcare providers about current documentation standards and helping them appreciate their role in documentation improvement. You must also be able to communicate effectively, both verbally and in writing, with clinical staff. Full time position available for a Clinical Documentation Specialist who works closely with physicians and 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. Thoroughly review records to identify current and potential principal and secondary diagnoses and quality of the patient record. RN, BSN required. Clinical Documentation experience and CCDS strongly preferred. Minimum five years experience adult inpatient med-surg or critical care. Case management experience helpful but not required. Basic computer skills in word processing and spreadsheet utilization.

Compensation: Competitive salary based on experience.
Benefits: Excellent benefits, including 33 days earned time off + 6 holidays and tuition reimbursement up to $7,500./year. Please apply online at www.JeffersonNursing.org to Job ID 114860.
Preferred Start Date: May 19, 2014
Position Type: Full-time


Date of Request: April 14, 2014
Job Title: Director Clinical Documentation Improvement Program
Name of Facility / Hospital: Thomas Jefferson University Hospital
Location of Facility / Hospital: Philadelphia, PA
Contact Person: Mary Marczyk RN, MSN, CHCR
Contact Address: mary.marczyk@jeffersonhospital.org

Job Description: Full time position available for a Director of Clinical Documentation Improvement, under the direction of the Sr. Director of HIM, the CDI Director is responsible for directing the operations of the Clinical Documentation Improvement Program for Thomas Jefferson University Hospital and Jefferson Hospital for Neuroscience. The CDI Director will define and implement strategies to ensure up to date clinical documentation subject matter expertise, service delivery and departmental performance to ensure accurate and complete coding impacting accurate revenue realization and publicly reported clinical metrics and outcomes. Directs the activities of the Clinical Documentation Specialists and leads communication and collaboration amongst key stakeholders including but not limited to HIM, Performance Improvement, Quality and Safety and physician leadership. Defines performance metrics for CDS quality and productivity. Oversees the development of and participates in physician documentation education and produces and shares physician documentation performance with physician leadership. Directs and assures adequate scheduling, distribution of work and workflow assessment of 12 Clinical Document Improvement Nurses and 2 lead coordinators. RN, BSN required. Master's or other advanced degree in the related field preferred. CCDS, ACDIS and/or CDIP certification required. ICD-10 coding certification preferred. Minimum five (5) years experience as a Clinical Documentation Specialist.

Compensation: Competitive salary based on experience.
Benefits: Excellent benefits, including 33 days of earned time off + 6 holidays. Please apply online at www.JeffersonNursing.org to Job ID 113243.
Preferred Start Date: May 19, 2014
Position Type: Full-time
 


Date of Request: 4/10/2014
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Cooper University Health Care
Location of Facility/Hospital: Camden, NJ
Contact Person/email/phone:  La Shaun Gould; Gould-LaShaun@CooperHealth.edu; 856-342-2467
Contact Address: 1 Cooper Plaza, Camden, NJ 08103

Job Description: If you are a seasoned Clinical Documentation Specialist with a nursing background and have a passion to truly effect change, then consider Cooper University Healthcare for your career. Due to the changes in healthcare, we have created a unique opportunity for the right person to take this consultancy-like role to a new level in Clinical Documentation. This highly visible role is at the forefront in meeting our strategic objectives involving ICD-10 implementation and ongoing proficiency. A culmination of critical thinking skills, proficient nursing knowledge, and the ability to build and foster Physicians relationships will be essential to your success. You will have a platform to shape and influence management and train Physicians. Your success will positively impact Physician satisfaction and achievement of critical Program metrics. Not to mention, your work has a direct impact on our fiscal bottom line.
The qualified candidate must be a graduate of a NLN accredited School of Nursing, have current NJ-RN Licensure, and at least 5 years of adult acute care experience in med/surg, critical care, emergency room, or PACU. A BSN, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), and Certified Data Management Professional (CDMP) is preferred.

For a complete job description and to apply, please visit: 
https://careers-cooperhealth.icims.com/jobs/24275/clinical-documentation-spec-ii/job

EOE

Compensation: TBD
Benefits: We offer a highly competitive salary and benefits package.
Preferred Start Date:
Position Type: Full-Time
 


Date of Request: April 10, 2014
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Scottsdale Healthcare
Location of Facility / Hospital: Scottsdale AZ
Contact Person: Lourdes Weaver
Contact Address: lweaver@shc.org

Job Description: Improves the overall quality and completeness of clinical documentation through the application of evidence-based knowledge, analysis, in depth review, interpretation, identification of opportunities, communication and consistent follow-up and evaluation of concurrent and retrospective medical record documentation. Interacts primarily with physicians, along with nursing staff, other patient caregivers and health information coding staff to capture appropriate reimbursement and clinical severity for the level of service rendered to all patients, with a focus on DRG based payers. Facilitates timely, accurate and complete documentation of clinical information used for measuring and reporting physician and Hospital outcomes and compliance with regulatory standards. Educates continually all members of the patient care team on issues relating to clinical documentation. Demonstrates knowledge of DRG payer issues documentation opportunities, clinical documentation requirements, coding standards as applied to medical record documentation, and compliance requirements. Applies teaching/learning principles in establishing an overall educational program related to effective clinical documentation,for and in collaboration with physicians and the health care team. Develops and maintains close working relationships with physicians and the departments of coding, nursing, health information management,quality and managed care. Excellent communication skills required.

Compensation: Competitive
Benefits: Competitive Apply on line at shc.org
Preferred Start Date: April 30, 2014
Position Type: Full-time


Date of Request: April 8, 2014
Job Title: Clinical Documentation Improvement (CDI) Specialist-RN
Name of Facility / Hospital: New York Hospital Queens
Location of Facility / Hospital: Flushing, NY
Contact Person: Lucia Lagan-Rinando
Contact Address: lul9002@nyp.org

Job Description:
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. 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.

Compensation: Commensurate with experience
Benefits:
Preferred Start Date: April 8, 2014
Position Type: Full-time


Date of Request: April 8, 2014
Job Title:  Physician Documentation Improvement Specialist (CDI)
Name of Facility/Hospital: UnitedHealth Group
Location of Facility/Hospital: Newtown Square, PA
Contact Person/email/phone:  Holly Brenneman Holly.Brenneman@optum.com

Job Description: Performs medical record reviews, examines and assesses patient documentation to ensure all information including the diagnosis is accurate by a concurrent and retrospective review.  Responsible to validate of diagnosis codes and identify missing diagnosis so that patient severity of illness is properly reflected. Collaborates with interdisciplinary teams including, but not limited to, physicians, nurses, PA's, and Coders.  Assumes responsibility for professional development by participating in workshops, conferences, and/or in-services and maintains appropriate records of participation.  Multiple opportunities available. Client facing and internal facing roles. Client travel as needed.

Requirements

  • RN or Coder (Registered Nurse (RN), Registered Health Information Administrator  (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist certification (CCS or CCDS)
  • Subject matter expertise in clinical documentation improvement
  • Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting. 
  • 5+ years clinical chart review experience, or Hierarchial Condition Categories (HCC) audits, or ICD-9-CM coding application on medical record review
  • Extensive knowledge of ICD-9-CM/CPT coding


See complete job description here: http://careers.unitedhealthgroup.com/careers/data/jobs/consulting-platform/551356-physician-documentation-improvement-specialist-cdi

Compensation: Negotiable
Benefits: Medical, Dental, Vision coverage available the 1st of the month following start month. Vacation and sick time accrue each pay period for an annual total of 23 days. (8) paid holidays observed. 401-k with an employer match that begins after 12 months of employment - 6% employee contribution is matched at 4.5%. . Employee Stock Purchase Program - 15% discount with a 6-month look back. Short and Long term disability. Life insurance. Adoption assistance. Education reimbursement. To see full ist of benefits, visit www.uhg.com, Careers/Why Work Here/Rewards and Benefits.
Position Type: Full Time
 


Date of Request: April 8, 2014
Job Title:  Director, Physician Documentation Improvement (CDI)   
Name of Facility/Hospital: UnitedHealth Group
Location of Facility/Hospital: Newtown Square, PA
Contact Person/email/phone:  Holly Brenneman. Holly.Brenneman@optum.com

Job Description:
The Director, Physician Documentation Improvement will oversee the concurrent review processes of complex patients of different ages and development in acute and chronic disease states. The successful candidate works to improve client quality scores through treating physician documentation of patient reviews.
 
Requirements:

  • Must have a Registered Nurse license (RN), OR be a certified Coder in one of the following: Registered Health Information Administrator certification (RHIA), Registered Health Information Technician certification (RHIT), Certified Coding Specialist certification (CCS) is required.
  • Subject matter expertise in clinical documentation improvement
  • Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting. 
  • 10+ years acute care experience
  • 3+ recent management or supervisory experience; Managed multiple coding/CDI departments across hospitals or both CDI and coding departments in one hospital.


See complete job description here:
http://careers.unitedhealthgroup.com/careers/data/jobs/consulting-platform/551353-director-physician-documentation-improvement-cdi

Compensation: Negotiable
Benefits: Medical, Dental, Vision coverage available the 1st of the month following start month. Vacation and sick time accrue each pay period for an annual total of 23 days. (8) paid holidays observed. 401-k with an employer match that begins after 12 months of employment - 6% employee contribution is matched at 4.5%. . Employee Stock Purchase Program - 15% discount with a 6-month look back. Short and Long-term disability. Life insurance. Adoption assistance. Education reimbursement. Visit www.uhg.com, Careers/Why Work Here/Rewards and Benefits to see the full benefit list.
Position Type:  Full Time
 


Date of Request: April 3, 2014
Job Title: Manager, Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Group Health Cooperative Of South Central Wisconsin
Location of Facility / Hospital: Madison, WI
Contact Person: Matthew Schaus
Contact Address: careers@ghcscw.com

Job Description: The Clinical Documentation Improvement Specialist (CDIS) is responsible for reviewing electronic encounter documens for outpatient professional charges to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The CDIS is responsible for performing Clinical Documentation Improvement (CDI) reviews to help identify and clarify missing, conflicting, or nonspecific clinician documentation related to diagnoses and procedures to reflect quality and outcome measures, improve a medical coders’ clinical knowledge as well as ensure the authenticity, integrity and accuracy of the documentation. The incumbent assists in providing coding education and required documentation criteria to all GHC-SCW Clinicians and Patient Care Services (PCS) staff and participates in job-related research projects. As assigned, the incumbent may assist the Medical Coding Manager in various administrative tasks. Please visit https://www.ghcscw.com/Pages/Careers.aspx for a full job description and/or to apply.

Compensation: Excellent compensation and benefits package!
Benefits: Excellent compensation and benefits package!
Preferred Start Date: ASAP
Position Type: Full-time


Date of Request: April 3, 2014
Job Title: Director, CDI
Name of Facility/Hosptial: North Shore LIJ
Location of Facility/Hospital: New Hyde Park,NY
Contact Person/email/phone: EDavid4@nshs.edu
Contact Address:
 
Job Description: The Director of Clinical Documentation Improvement will direct the activities of the Clinical Documentation Improvement (CDI) department, facilitate 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.

Requirements:

  • Bachelor's Degree in Nursing or related field, required. Masters Degree, preferred.
  • License to practice as a Registered Professional Nurse in New York State.
  • Minimum of seven (7) years of progressive experience in an acute care setting.
  • Previous experience in chart review, required.
  • Regulatory background and DRG reimbursement knowledge, preferred.
  • Ability to communicate effectively with physicians and other clinical professional staff.


To find out more, please visit our website at nslijcareers.com and search for Requisition ID: NSH000349. You can also email a copy or your resume to EDavid4@nshs.edu with the requisition ID in the subject line. NSLIJ is an equal opportunity employer. M/F/D/V.

Compensation: Competitive
Benefits: Competitive
Preferred Start Date:
Position Type:


Date of Request: March 27, 2014
Job Title: RN, Clinical Documentation Specialist
Name of Facility / Hospital: Loyola University Health System
Location of Facility / Hospital: Maywood (Chicago Suburbs), IL
Contact Person: Pam Morgan, Human Resources Manager
Contact Address: pmorgan@lumc.edu

Job Description: Loyola University Health System is seeking a Clinical Documentation Specialist who demonstrates 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. The CDS facilitates accurate documentation for severity of illness and quality in the medical record, and works closely with HIM coding staff to facilitate accurate documentation of discharge diagnosis and co-existing co-morbidities. Minimum Education: - Required: Bachelors Degree OR equivalent training acquired via work experience or education - Preferred: Bachelors Degree Minimum Experience: Required: 3-5 years of previous job-related experience - Preferred: 6-10 years of previous job-related experience Minimum Experience Details: Previous Clinical Documentation or Case Management experience desirable. Licensure/Certifications: Required: Current Registered Nurse License State of Illinois - Preferred: Emergency Medical Technician (NR-EMT-P) APPLY ONLINE: https://www.healthcaresource.com/loyola/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=610908

Compensation: Not Disclosed
Benefits:
Preferred Start Date: March 27, 2014
Position Type: Full-time/Day Shift (8 am - 4:30 pm)

Loyola University Health System


Date of Request: March 28, 2014
Job Title: Clinical Documentation Specialist CDS Manager
Name of Facility / Hospital: Confidential
Location of Facility / Hospital: Nationwide
Contact Person: Jia Cartin
Contact Address: jia@nationalstaff.com

Job Description:  Manages the fiscal activities of the department. Functions as the super-user and trainer for the Clinical Documentation Improvement System and all application software used by CDS staff to code and assign working MS-DRG, APR-DRG, SOI, ROM. - Interacts with treating physicians, nurses, case managers, quality staff and coders to ensure complete and compliant treating physician documentation to support MS-DRG along with APR-DRG and Severity of Illness (SOI) and Risk of Mortality (ROM). - Preferred: Quality improvement process skill. Ability to work in teams, critical thinking, decision-making skills, adaptability, supportive to change, detail-oriented and professionalism. - RN: At least 5 years relevant clinical experience in acute hospital setting and at least 3 years project/supervisory/management experience. Medical/Surgical and Critical Care Nursing experience preferred. ICD-10 trained.

Compensation: $65-$75/hourly
Benefits: Travel expenses paid + daily per diem. First day health/vision/dental benefits, 401K and PTO.
Preferred Start Date: April 21, 2014
Position Type: Full-time , Contract


Date of Request: March 26, 2014
Job Title: Clinical Documentation Improvement Specialist - RN, Req #5534
Name of Facility / Hospital: Skagit Regional Health/Skagit Valley Hospital
Location of Facility / Hospital: Mount Vernon, Washington
Contact Person: Julie Stephens, Talent Acquisition Specialist
Contact Address: jstephens@skagitvalleyhospital.org

Job Description: Perform ongoing medical record review utilizing documentation and improvement guidelines through electronic and hard chart review, nurse and allied health care team interface. Conduct concurrent and daily ongoing reviews for all inpatient cases; perform restrospective reviews for Medicare patients. Assist coders with retrospective and concurrent reviews. Follow-up with Provider on discrepancies and requests for additional documentation as needed. Capture and present physician dashboard data to compliance committee, MEC, executive leadership and board. Coordinate level of care with Case Manager and Utilization Review nurses around medical necessity. Coordinate with inpatient coding staff on diagnosis code and ICD-10 transitioning. Collaborate on template development in Meditech and Midas. Review chart and abstract data to pre-code prior to final coding. Provides training to other staff as needed. Maintain current knowledge of clinical documentation national standards, benchmarks, ICD-10CM/PCS and government regulations through self-audit, RAC review and continuing education opportunities. Performs other duties as assigned. BSN required/Desired Degree: Nursing Desired Job Exp: Minimum five years clinical RN experience in Med/Surg/CCU or ER. Previous CDI experience preferred. License/Certification Current Washington State RN license required. Certified Clinical Documentation Spec (CCDS) or CDI Spec (CDIP) certification required within 24 months of hire. Website: www.skagitvalleyhospital.org

Compensation: Based on years of experience
Benefits: Comprehensive Benefits Package
Preferred Start Date: April 14, 2014
Position Type: Full-time


Date of Request:  March 26, 2014
Job Title:  HIM Coder
Name of Facility/Hospital:  Fletcher Allen Health Care
Location of Facility/Hospital:  Burlington VT
Contact Person/email/phone: 
Contact Address: Job details and to apply at www.FletcherAllen.org, postings #24284 and #24289

Job Description: The HIM Coder applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding.  May be assigned to work edit lists for accuracy of claims processing and data reporting.  Applies knowledge of ICD-9 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-9 diagnoses codes, principal and secondary ICD-9 procedure codes for all visits, exceding accuracy and productivity standards. See complete job details at www.fletcherallen.org.

Education:
Minimum:  High school diploma.  College level Anatomy and Physiology and Medical Terminology required.  Associate's degree or Bachelor's degree in Allied Health or HIM preferred. Must have certification in one of the following areas or obtain certification within two years of the date of hire:  CCA, CCS, CPC, CPC-A.  RHIT or RHIA.  Certified clinical documentation specialist or and RN with CCS, CPC or CPC-H.

Experience:
Two years of university hospital facility and/or professional coding experience preferred. Demonstrated ability meet quality and productivity standards.  Coding or billing experience utilizing ICD-9-CM, CPT-4, HCPCS level II and/or experience performing clinical documentation reviews preferred.

Compensation:  N/A
Benefits: Comprehensive. Equal Opportunity Employer M/F/D/V
Preferred Start Date: N/A
Position Type:  N/A
 


Date of Request: March 26, 2014
Job Title: Clinical Documentation Specialist Consultant
Name of Facility / Hospital: Navigant Consulting
Location of Facility / Hospital: Remote
Contact Person: Lisa Hull
Contact Address: lisa.hull@navigant.com

Job Description: Navigant seeks Clinical Documentation Specialist (CDS) who have at least five years' of experience as a CDS (RN or Coder). Applicants should have: • Experience in a variety of practice settings • Ability to develop educational materials and presentations for a varied audience (Physicians, CDS, Coders, Leadership, etc.) • Well-developed desktop skills • Excellent oral and written communication skills • Ability to prioritize and manage multiple tasks • Solid knowledge and application of coding systems (both ICD-9 and ICD-10 is required • Knowledge of and experience in DRG reimbursement systems (MS-DRG, AP/APR-DRGs) • Current CDS and/or Coding credentials • Ability to travel 100% required

Compensation: Commensurate with experience
Benefits: Competitive
Preferred Start Date: March 26, 2014
Position Type: Full-time, Permanent


Date of Request: March 25, 2014
Job Title: Clinical Documentation Improvement Specialist (CDS)
Name of Facility / Hospital: UASI
Location of Facility / Hospital: Chicago, IL - Southwest Suburbs
Contact Person: Julie Andol, Human Resources
Contact Address: Julie.Andol@UASISolutions.com

Job Description: UASI is seeking a Clinical Documentation Improvement (CDI) Specialist for a full time position. The CDS will analyze and interpret medical record documentation and formulate appropriate physician queries to improve the quality, completeness and accuracy of the medical record. The ideal CDS will have a clinical background with a thorough knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System. The ability to communicate with physicians to promote appropriate clinical documentation and quality improvement is a must. This is a permanent, full time position, and there is no travel required. Those willing to relocate to the Greater Chicago area are welcome to apply, as we will help to relocate the right individual. Qualifications Include: •RN, LPN, or LVN License; RN strongly preferred •Minimum of 3-5 years Clinical Documentation Improvement experience in an acute care setting •RHIA, RHIT, CCS, CCDS or CDIP credential preferred Please contact Julie Andol, Human Resources, directly at 800-526-0594 ext. 4153 or Julie.Andol@UASISolutions.com. UASI is an Equal Opportunity Employer.

Compensation: Negotiable. Compensation includes bonus opportunity.
Benefits: Benefits begin 30 days after date of hire and include Medical (PPO and HSA plans available), Dental, and Vision coverage, as well as long/short term disability and life insurance. Flexible Spending Account (FSA) for both medical and dependent care expenses. Three (3) weeks of vacation, four (4) "Sick Days" and eight (8) paid holidays annually, 401(K) retirement plan with an employer match. Career Development with continuing education opportunities, educational allowances, reference materials, and tuition reimbursement. We are providing a handsome relocation package for the right candidate.
Preferred Start Date: May 1, 2014
Position Type: Full-time , Permanent


Date of Request: March 24, 2014
Job Title: Clinical Documentation Specialist-Remote Opportunity
Name of Facility / Hospital: Boston Medical Center
Location of Facility / Hospital: Boston, MA
Contact Person: Jill Collins, Recruiter- HR
Contact Address: Jill.Collins@bmc.org

Job Description: The Clinical Documentation Specialist will provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. This is a full-time position, with the opportunity to work remotely part-time and on-site part-time. Bachelor's degree in Nursing or Health Information Management is required; however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements. Minimum of 6 years clinical experience and 3 years inpatient case management experience; or 6 years’ experience inpatient coding with DRG Validation required.  Previous CDS experience preferred. RN or CCS required; CCDS and/or CDIP preferred. Please visit, www.jobs.bmc.org for the full job posting.  Job number 1302289.

Compensation: TBD
Benefits: Comprehensive Benefits package
Preferred Start Date: April 1, 2014
Position Type: Full-time
 


Date of Request: March 24, 2014
Job Title: Clinical Documentation Specialist-Remote Opportunity
Name of Facility / Hospital: Boston Medical Center
Location of Facility / Hospital: Boston, MA
Contact Person: Jill Collins, Recruiter- HR
Contact Address: Jill.Collins@bmc.org

Job Description: The Clinical Documentation Specialist will provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. This is a full-time position, with the opportunity to work remotely part-time and on-site part-time. Bachelor's degree in Nursing or Health Information Management is required; however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements. Minimum of 6 years clinical experience and 3 years inpatient case management experience; or 6 years’ experience inpatient coding with DRG Validation required.  Previous CDS experience preferred. RN or CCS required; CCDS and/or CDIP preferred. Please visit, www.jobs.bmc.org for the full job posting.  Job number 1302289.

Compensation: TBD
Benefits: Comprehensive Benefits package
Preferred Start Date: April 1, 2014
Position Type: Full-time
 


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