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:11-4-09
Job Title: Manager, Clinical Documentation
Name of Facility/Hospital: Loyola University Medical Center
Location of Facility/Hospital: Maywood (Chicago), IL
Contact Person/email/phone: Paul Walden, RN, Human Resources Manager, pwalden@lumc.edu, 708/216-9402 Apply online (preferred): https://www.healthcaresource.com/loyola/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=207726
Contact Address: 2160 S. First Ave., Maywood, IL 60153
Job Description: Loyola University Medical Center is currently seeking a Manager to direct the activities of the Clinical Documentation Improvement (CDI) Dept, facilitate modifications 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; serve as resource to physicians and others; and facilitate education based on data analysis. Bachelors Degree (Masters preferred), 3-5 yrs. job-related exp, and current State of IL RN licensure required.
Compensation: Not Disclosed
Benefits: Medical, dental, vision & life insurance; vacation accrual, paid holidays.
Preferred Start Date: Immediately
Position Type: Full-time 

 Date of Request:10-29-09
Job Title: RN, Clinical Documentation Specialist
Name of Facility/Hospital:Loyola University Medical Center
Location of Facility/Hospital:Maywood (Chicago), IL
Contact Person/email/phone: Paul Walden, RN, Human Resources Manager, pwalden@lumc.edu, 708/216-9402; Apply online (preferred): https://www.healthcaresource.com/loyola/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=133041
Contact Address: 2160 S. First Ave., Maywood, IL 60153
Job Description (limit 700 characters): Loyola University Medical Center 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 data and subsequent financial reimbursement. This position works closely with HIM coding staff to facilitate accurate documentation of discharge diagnosis and co-existing co-morbidities. Bachelors Degree (or equiv. in experience/education), 3-5 yrs. job-related exp, and current State of IL RN licensure required.
Compensation:Not Disclosed
Benefits:Medical, dental, vision & life insurance; vacation accrual, paid holidays.
Preferred Start Date: Immediately
Position Type:Full-time 

Date of Request: November 4, 2009
Job Title: Clinical Documentation Improvement Manager
Name of Facility / Hospital: Maxim Health Information Services
Location of Facility / Hospital: Cleveland, OH or Remote Position
Contact Person: careers@maxhealth.com
Contact Address: careers@maxhealth.com
Job Description: Maxim Health Information Services (MHIS), a subsidiary of Maxim Healthcare Services, is seeking a Clinical Documentation Improvement (CDI) Manager. Responsibilities: - Assist in development of CDI materials - Manage client CDI projects in all capacities - Ensure accuracy and compliance in all consulting efforts Job Requirements: -RHIA, RHIT, CCS with experience in ICD-9CM hospital based coding. HIM management experience is a plus and/or MD, PA, RN, (C-CDIS is a plus) - CDI Consultant experience applying coding and clinical concepts into all phases of the development, instruction, and communication Successful physician, senior leadership, clinical analytics exposure -Up to 75% travel For more information, visit our website: www.maximhealthinformationservices.com Superior Solutions, Exceptional Careers. EOE/AAE
Compensation: not disclosed
Benefits: We offer competitive pay, full benefits including medical, dental and vision coverage as well as 401(k), 529 college savings plan, basic life insurance with the option of supplemental and 17 days paid time off in addition to holidays.
Preferred Start Date: ASAP
Position Type: Full-time

 Date of Request: October 26, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: San Ramon Regional Medical Center
Location of Facility / Hospital: San Ramon, California
Contact Person: Helynn M. Pierce, Director, HIM
Contact Address: helynn.pierce@tenethealth.com
Job Description: Position Summary: Provide clinically-based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services. Includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Will play a significant role in obtaining accurate and compliant reimbursement for acute care services and in reporting quality of care outcomes. Position Qualifications: Minimum Education: Bachelors; Masters preferred. Strong clinical knowledge desirable. Minimum Experience/Skills: Five (5) years ICD-9/CPT coding experience in an acute care setting as well as Three (3) years Clinical Documentation Improvement experience required. Candidate must have knowledge of care delivery documentation system and related medical record documents.
Compensation: TBD
Benefits: TBD
Preferred Start Date: October 26, 2009
Position Type: Full-time

 Date of Request: October 22, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Global HealthCare Recruiters
Location of Facility / Hospital: Midwest
Contact Person: Sue Taylor, RHIA
Contact Address: careers@ghcr.com
Job Description: Responsible for improving overall quality and completeness of clinical documentation in this progressive acute care facility. RHIA, RHIT, CCS, or RN with a minimum of three years acute care coding experience, with clinical experience a plus!
Compensation: Negotiable - competitive
Benefits: Excellent benefits!
Preferred Start Date: October 22, 2009
Position Type: Full-time

Date of Request: October 22, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Alexian Brothers Medical Center
Location of Facility / Hospital: Elk Grove Village, Illinois
Contact Person: Patty Christenson
Contact Address: christep@alexian.net
Job Description: Reporting to the Director, Health Information Management, the Clinical Documentation Specialist facilitates improvement in the quality, completeness and accuracy of clinical documentation. Obtains appropriate clinical documentation through extensive interaction with Physicians, Nursing Staff, other Patient Caregivers and Health Information Management Coding Staff to ensure that the complete and accurate level of services provided is documented and that appropriate reimbursement is received for all inpatient accounts. Educates members of the patient care team on documentation guidelines on an ongoing basis.MINIMAL JOB REQUIREMENTS: RN; current Illinois licensure required. A minimum of 2-4 years clinical nursing experience. Effective working relationships with Physicians and other members of the health care delivery team. Demonstrated written and oral communication skills. Knowledge of quality improvement principles and techniques preferred excellent data analysis and problem solving skills. Proficiency in the computer applications needed to perform job. Examples include but are not limited to: Microsoft Word, Excel, Internet Explorer, GroupWise (or similar), Meditech (or EMR experience), 3M Coding Software (or similar). Must be able to stand for extended periods of time.
Compensation: Competitive
Benefits: TBD
Preferred Start Date: October 22, 2009
Position Type: Full-time

Date of Request: October 20, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: St. Mary's Hospital
Location of Facility / Hospital: Passaic, NJ
Contact Person: Anne Szalay, RNBC, BS
Contact Address: szalaya@smh-passaic.org
Job Description: The Clinical Documentation Specialist is responsible for facilitating improvement in the overall quality, completeness and accuracy of medical record documentation, as well as obtaining and promoting appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and the Health Information Services coding staff in order to ensure that clinical documentation reflects the severity of the patient's illness and results in appropriate reimbursement. Responsibilities also include on-going education of members of the patient care team on documentation guidelines. Qualifications include prior experience as a Clinical Documentation Improvement Specialist role. RHIA or RHIT with CCS with a minimum of 5 years' experience in ICD-9 and CPT coding, DRG assignment and project management a plus. NJ RN licensure required and a minimum of 5 years' RN experience in adult med/surg, critical care, emergency department or utilization review/case management also a must. Bachelors Degree required.
Compensation: TBD
Benefits:
Preferred Start Date: ASAP
Position Type: Full-time, Permanent

Date of Request: October 20, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: NHS Solutions
Location of Facility / Hospital: California, Oregon, Washington, Arizona, Minnesota, Illinois, Massachusets, NY, NJ, Florida
Contact Person: Scott Entinger or Devon Santoro
Contact Address: scotte@nhsscorp.com, devons@nhsscorp.com  
Job Description: 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. Qualifications: Minimum of 3-5 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), Demonstrated ability to conduct and interpret quantitative/qualitative analysis. Proven leadership skills in project management and consulting. Must exhibit efficiency, collaboration, candor, openness, and results orientation.Establishes effective working relationships with the local and regional staff/teams/leadership. Facilitates appropriate clinical documentation to support diagnosis capture and to ensure the level of service rendered to all patients is recorded. Identifies and reviews primary and secondary diagnosis and complications to ensure diagnosis documentation and capture through addendums may identify patients
Compensation: 75K-120K
Benefits: Benefits avaialable on request
Preferred Start Date: October 20, 2009
Position Type: Full-time, Permanent

Date of Request: October 19, 2009
Job Title: CDI Consultant
Name of Facility / Hospital: DCBA, Inc.
Location of Facility / Hospital: Atlanta, GA
Contact Person: Robert S. Gold, M.D.
Contact Address: DCBAInc@cs.com
Job Description: Wonderful, personable, bright, driven person with nursing or coding background and credentials who can travel part of each week and teach coders, nurses and physicians essentials of documentation that make a difference to the quality of a medical record. Must be willing to relearn everything you already know to meet our standards. Must be physically and mentally able to travel in the current milieu.
Compensation: To be determined
Benefits: To be determined
Preferred Start Date: November 2, 2009
Position Type: Permanent, Contract

Date of Request: October 19, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Lawrence General Hospital
Location of Facility / Hospital: Lawrence, MA
Contact Person: Adrienne Gmeiner, RN, CCS
Contact Address: adrienne.b.gmeiner@lawrencegeneral.org
Job Description: The Clinical Documentation Specialist is responsible for facilitating improvement in the overall quality, completeness and accuracy of medical record documentation, as well as obtaining and promoting appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and the Health Information Services coding staff in order to ensure that clinical documentation reflects the severity of the patient's illness and results in appropriate reimbursement. responsibilities also include on-going education of members of the patient care team on documentation guidelines. Qualifications include prior experience as a Clinical Documentation Improvement Specialist role. RHIA or RHIT with CCS with a minimum of 5 years' experience in ICD-9 and CPT coding, DRG assignment and project management a plus. Massachusetts RN licensure required and a minimum of 5 years' RN experience in adult med/surg, critical care, emergency department or utilization review/case management also required. Bachelors Degree a plus. If interested please apply on line at Lawrencegeneralhospital.org
Compensation: competitive
Benefits: Comprehensive Benefits
Preferred Start Date: November 17, 2009
Position Type: Full-time , Permanent

Date of Request: October 16, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Citizens Medical Center
Location of Facility / Hospital: Victoria, Texas
Contact Person: Shelly Frank
Contact Address: sfrank@cmcvtx.org
Job Description: The CDI will facilitate the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team. To ensure clinical documentation reflects accurately the level of service and severity of illness of the patient. This position requires strong critical thinking skills as well as organization and prioritization skills. Baseline education will consist of a degree in Science, Nursing or Allied Health preferred.
Compensation:
Benefits:
Preferred Start Date: October 16, 2009
Position Type: Full-time , Permanent

 Date of Request: October 6, 2009
Job Title: Utilization Review Specialist, two open positions
Name of Facility / Hospital: UHC Solutions
Location of Facility / Hospital: Stockton, and Sacramento CA
Contact Person: Seth Bitney
Contact Address: seth@uhcsolutions.com
Job Description: JOB SUMMARY: Analyzes patient records to determine legitimacy of admission, treatment, and length of stay in health care facility to comply with government and insurance company reimbursement policies by performing the following duties personally or through subordinate supervisors. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patient. Compares outpatient medical records to established criteria and confers with medical and nursing personnel and other professional staff to determine legitimacy of treatment and length of stay. Abstracts data from records and maintains statistics. Determines patient review dates according to established diagnostic criteria. EDUCATION, TRAINING, & EXPERIENCE, CERTIFICATION/LICENSURE Associates or Bachelors degree in Nursing and minimum 2 years related experience. California license required. Experience in UR case management preferred. OTHER SKILLS AND ABILITIES Excellent interpersonal communication skills. Good organizational/analytical skills. Able to perform under pressure. This is a Monday through Friday, full time, 13 week contract position; day schedule
Compensation: $31-$40/Hour
Benefits: Beautifully furnished apartment in Roseville, CA Rental car provided Opportunity for a full-time position Brand-new state of the art acute care "green" facility Strong healthcare system with excellent market presence
Preferred Start Date: October 20, 2009
Position Type: Full-time , Contract

Date of Request: October 5, 2009
Job Title: CDIP Specialist
Name of Facility / Hospital: South Nassau Communities Hospital
Location of Facility / Hospital: Oceanside, NY
Contact Person: Human Resources
Contact Address: lmarconi@snch.org
Job Description: Job Description: Position Requirements: Graduate of an approved Nursing Program and New York State Licensed Registered Nurse. BSN and CCS (Certified Coding Specialist) Preferred. Must have 3-5 years recent clinical experience in a hospital setting. Case Management, Utilization Review or previous coding experience preferred. Must possess excellent interpersonal and communication skills. Strong observational, analytical, and problem solving skills required. Position Responsibilities: Clinical Documentation Improvement is responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers and medical records coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. 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: Based on experience
Benefits: Comprehensive Benefits
Preferred Start Date: October 5, 2009
Position Type: Full-time , Permanent

Date of Request: October 1, 2009
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Rush University Medical Center
Location of Facility / Hospital: Chicago, IL 60612
Contact Person: Debra F Levin
Contact Address: debra_f_levin@rush.edu
Job Description: The Clinical Documentation Specialist RN is responsible for improving the overall quality and completeness of clinical documentation. The CDS RN performs concurrent reviews, educates care providers, and faciliates modifications to the record to accurately reflect each patient's severity of illness. The CDS RN works closely with physicians and HIM staff to ensure the accuracy and completeness of clinical information used for measuring and reporting physician and RUMC outcomes. Must have excellent communication and interpersonal skills along with the ability to work independently. RN required; BSN preferred. Minimum of 3-4 years clinical nursing experience. CDI program experience is strongly preferred. Interest in oncology, cardiology, and/or medical patients desired. Willingness to learn an electronic health record (Epic) is required.
Compensation: According to experience
Benefits: Medical/Dental/Vision; 403(b); PTO; tuition reimbursement
Preferred Start Date: November 1, 2009
Position Type: Full-time