RN Clinical Documentation Improvement Specialist CDIS

If you are a Clinical Documentation Improvement CDI Nurse who is looking for a job that will stimulate, challenge and engage you? You’ve come to the right place!

The Clinical Documentation Specialist Nurse RN will work for a non-profit acute care facility with 300 plus bed and 1,500 employees located in beautiful, coastal and warm Silicon Valley of Northern California surrounded by beaches, mountain retreats and wine countries. The hospital provides quality and affordable health care services to the surrounding community while named as a "Top Employer to Work for"

The CDI Clinical Documentation Improvement Nurse will provide a key role in facilitating long-term success of the clinical documentation improvement and integrity program by providing day-to-day intense oversight of the CDI program.  Reporting to the Sr. Director of Quality Improvement and Patient Safety, the CDS Nurse will be responsible for increasing CDI program awareness (team members, CDI process, program benefits) with the goal of enhancing the appropriateness and comprehensiveness of the medical record to ensure patient safety and quality of care. 

The goal of the Clinical Documentation Improvement program is to ensure that physician and allied health documentation accurately represents the condition and co-morbidities for patients of the hospital.  The Clinical Documentation Specialist CDS Nurse will work in collaboration with the medical center’s team of clinicians, coding professionals, physicians, physician's assistants' and certified registered nurse practitioners to ensure accurate and timely clinical documentation in the medical record that supports the coding process in attaining appropriate DRGs based on sound clinical entries in the medical record.  

The Clinical Documentation Improvement CDI Nurse will support ongoing communication and education on documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies to physicians and entire hospital staff.  The Clinical Documentation Improvement CDI RN will function as the Steering Committee administrator and participate in CDI Task Force meetings to provide all around oversight of the CDI program.

The ideal candidate for Clinical Documentation Specialist CDS Nurse should have BSN degree with minimum of 3 years experience in an acute care, hospital or similar setting and minimum of 3-years experience in CDI Programs with knowledge of Medicare Part A and Part B. The CDI Nurse should be CCDS/CDIP and ICD-10 trained and have 2-3 years extensive knowledge of regulatory environment and understand CDMP® documentation strategies.  Health Information Management program required with BS in relevant Healthcare field preferred

The Clinical Documentation Improvement Nurse will join a hospital that thrives to provide the best patient care to the surrounding community. The family atmosphere, compassionate patient care, dedication to its employees and 100 plus years of service to the community makes this hospital the place to embark upon the next step in your career.  Join now!