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: November 19, 2009
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Mountainside Hospital
Location of Facility / Hospital: Montclair, NJ
Contact Person: Debra Savage, Human Resources
Contact Address: Debra.Savage@mountainsidehosp.com
Job Description: The Clinical Documentation Improvement Specialist (CDIS) facilitates the communication between physicians and other inhouse users of clinical documentation through a process of documentation improvement that involves review, education, and collaboration with physicians, other clinicians, and co-workers. Mountainside Hospital is a service-oriented organization that operates seven days per week, 24 hours per day. Work schedule will be flexible to accommodate weekends, holidays, overtime, and low census periods. Under the direction of the Health Records Services Director, the CDIS: Is responsible for the day-to-day activities of the Clinical Documentation Improvement Program to include all modalities, liaisons with other departments and physicians, and the development and implementation of clinical documentation improvement processes. Works in conjunction with physicians, case management, nursing, HRS co-workers, and other health team members to provide for comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatient, same day procedure, and emergency department cases. Utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.
Compensation: Mountainside offers competitive salaries (commensurate with experience)
Benefits: Health benefits, life insurance, tuition reimbursement, on-site health/exercise facilities, and 401K matching.
Preferred Start Date: January 4, 2009
Position Type: Full-time

Date of Request: 11/17/09
Job Title: Inpatient Clinical Documentation Lead
Name of Facility / Hospital: Lee Memorial Health System
Location of Facility / Hospital: Ft. Myers, Florida
Contact Person: Recruiter Visit www.MakeITHappen.jobs  and find your future at Lee Memorial Health System.
Contact Address: 2776 Cleveland Avenue
Job Description: It’s an opportunity of Epic proportions at Lee Memorial Health System in Ft. Myers/Cape Coral, Florida. You have the chance to make a difference in the community, to simplify patient record keeping to one patient/one record and to work with the state-of-the art, integrated Epic Clinical Systems software. We have an immediate opening for an Inpatient Clinical Documentation Lead to guide the implementation of the Epic Clinical Documentation project in our acute care setting. In this role, you will be responsible for full suite, interdisciplinary clinical documentation project, including plans of care, e-MAR with bar coding, and full ICU automation including device integration.
To be considered for this position, we require a clinician with significant hands-on implementation experience as a project manager over automated interdisciplinary Clinical Documentation projects including plans of care across the acute care setting. If you have Epic Inpatient Clinical Documentation Certification, that’s a plus. Join our IT team as we introduce the integrated Epic Clinical systems software.
Compensation: Competitive
Benefits: A competitive salary and benefits package along with an exceptional work environment create the IT career opportunity of a lifetime. Drug/Tobacco-free work place. EOE.
Preferred Start Date: Immediate
Position Type: Full Time

Date of Request: November 13, 2009
Job Title: CDI Program Manager
Name of Facility / Hospital: Mount Clemens Regional Medical Center
Location of Facility / Hospital: Mount Clemens, MI
Contact Person: Candice Nordyke
Contact Address: Candice.Nordyke@phns.com; apply online www3.ultirecruit.com/pro1004/jobboard/NewCandidateExt.aspx 
Job Description: We are currently looking for a Clinical Documentation Improvement (CDI)Program Manager to work onsite at Mt. Clemens Regional Medical Center located in Mount Clemens, MI. This hospital is part of the McLaren Healthcare Corporation. The CDI Program Manager is responsible for ensuring that clinical documentation accurately reflects the patient’s severity of illness, resource utilization, and quality of care provided and to support hospital reimbursement. Provides leadership, program oversight, and monitors system wide CDI improvement efforts. Qualifications: • RN, licensed to practice in State of Michigan, Bachelor’s degree in nursing preferred or, • RHIA, Bachelor’s degree in Health Information Management or Health Services Administration or related field, • CCDS and CCS preferred; • 3+ years health care leadership and management experience, previous consulting experience preferred • 2+ years of demonstrated health information management experience and/or clinical care nursing experience • Must maintain credentials through completion of required CE requirements
Compensation: annual
Benefits: PHNS strives each year to provide the most affordable and comprehensive health benefit package to its employees. We ask our employees for suggestions to improve our benefit plans because we value the well-being of our staff. In addition to Vacation, Holidays, Floating Holidays, and Sick time, our benefit plans include the following: Medical Prescription Drug Wellness Program Dental Vision Short-Term Disability (company paid and supplemental) Long-Term Disability Life Insurance (company paid and supplemental) Employee Assistance Program (EAP) Voluntary Benefit Plans Flexible Spending Accounts (FSA) 401(k) Plan 401(k) Company Match 529 Plan Educational Assistance Ebby (Halliday) Advantage Program
Preferred Start Date: December 7, 2009
Position Type: Full-time

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