Clinical Documentation & Integrity Specialist - Remote | WFH Job at Get It Recruit - Healthcare, Houston, TX

THZJbytadWJyS0hHcWtzRXJtQmROSjlBUkE9PQ==
  • Get It Recruit - Healthcare
  • Houston, TX

Job Description

Job Summary:
This position plays a crucial role in conducting concurrent reviews of inpatient medical records to enhance the quality of physician documentation. The CDI Specialist engages in ongoing interactions with physicians and healthcare teams, both face-to-face and electronically, to facilitate timely improvements in clinical documentation. The primary objective is to ensure comprehensive and accurate medical records that support precise coding.

Job Description:

We are currently seeking a Remote Clinical Documentation Improvement (CDI) Specialist residing in one of the following states:

Texas
Louisiana
Oklahoma
Nebraska
Florida
Georgia
Tennessee
South Carolina
Desired Skills:

Preferably a Registered Nurse (RN) with experience in Clinical Documentation.
Bachelor of Science in Nursing (BSN) required.
Critical care nursing experience highly valued.
Minimum Qualifications:

Education: Bachelor of Nursing required.
Licenses/Certifications: Current state nursing license (Texas or temporary/compact license).
Experience: Minimum of five (5) years in inpatient acute care, preferably in ICU settings.
Skills: Strong observational, analytical, problem-solving, verbal, and written communication skills. Proficiency in computer usage, including database and spreadsheet analysis, presentation programs, word processing, and internet research.
Key Responsibilities:

Collaborate effectively with physicians, case managers, coders, and other healthcare team members to ensure comprehensive documentation.
Utilize designated clinical documentation systems to identify opportunities for improving physician and hospital outcomes.
Provide education to internal stakeholders on compliance, coding, and clinical documentation issues.
Evaluate documentation daily to ensure alignment with hospital standards and regulatory requirements.
Contribute to a positive work environment and support organizational initiatives.
Develop strategies for physician education to enhance clinical documentation accuracy.
Stay updated on CMS rules and regulations, integrating changes into daily practice.
Participate in service line meetings, reviewing outcomes and educating physicians on improvement opportunities.
Adhere to HIPAA and Code of Conduct policies.
Assist with special projects as required.
Demonstrate competency in customer service, job skills, resource management, teamwork, and innovation.
Ensure patient, staff, and visitor safety by following organizational policies and procedures.
Professional Development:

Support department goals through continuing education and skills development.
Act as a mentor and resource to less experienced staff members.
Commitment to Community:
Other Duties:
Perform other duties as assigned.
Employment Type: Full-Time
Salary: $ 23.00 Per Hour

Job Tags

Hourly pay, Full time, Temporary work,

Similar Jobs

Dover Corporation

Traffic Coordinator Job at Dover Corporation

 ...SUMMARY: Responsible for providing administrative support to the traffic function of the organization ESSENTIAL DUTIES AND...  ...required to use hands to finger, handle, feel objects.tools,or controls and reach with hands and arms The employee must occasionally... 

BCI Acrylic Independent Dealers

Brand Ambassador Job at BCI Acrylic Independent Dealers

 ...the events team. Are you the life of the party? Apex Windows and Baths Wants YOU! Part-Time Job with Full-Time Pay ! The Brand Ambassador at Apex Windows and Baths Earns More Than You Might Expect!Be the face and voice of Apex Windows and Baths . As a... 

Gannon University

Director Clinical Education, Faculty - Doctor of Physical Therapy, Ruskin, FL | Gannon University Job at Gannon University

 ...Director Clinical Education, Faculty - Doctor of Physical Therapy, Ruskin, FL Position Summary: Gannon University's Doctor of Physical...  ...and exceptional learning environments on campus create a special atmosphere conducive to education, scholarship, research,... 

Glodom Language Solutions Co., Ltd.

Native Translator:English to Spanish/Portuguese(Remote) Job at Glodom Language Solutions Co., Ltd.

Requirements Native in Spanish/PortugueseBrazil Degree in translation, interpretation, language studies, or related field...  ...issues from many angles Responsibilities Translation between English and Spanish/PortugueseBrazil Cultural adaptation and localization... 

Daylight Beach Club

PROMOTER - DAYLIGHT BEACH CLUB Job at Daylight Beach Club

 ...include but not limited to Consistently following SOPs outlined by Promotions and venue management. Actively market Self and the venue. Market both Light Nightclub and Daylight Beach Club during seasonal operation. Utilize network to drive guests into the...