Clinical Documentation Improvement Specialist (Exempt)

Minimum Qualifications

Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement

Working knowledge of data analysis and personal computer spreadsheet software

Well-developed leadership and interpersonal skills

Polished presentation skills

Well-developed written and oral communications skills

AND

One of the following

• RHIA
• Graduation from an accredited RN program with recent hospital experience
• RHIT certification

Licensure/Certification/Registration

One of the following

• RHIT
• Licensed as an RN in the state of Alabama
• CCDS
• RHIA

Desired Qualifications

• 2 years CDI experience
• Working knowledge of coding principles and guidelines

Improves overall quality and completeness of clinical documentation by performing concurrent review of the medical record to achieve accurate inpatient coding and a working DRG assignment. Provides education to physicians and others to improve the capture of clinical severity for the level of service rendered. Identifies process improvement opportunities and supports the timely and accurate capture of measurements to improve patient outcomes.