Employment

Clinical Documentation Improvement Specialist

Posted: March 6, 2014

Description

This position uses clinical/nursing knowledge of documentation requirements to improve overall quality and completeness of clinical documentation of patient records on a concurrent basis using a multidisciplinary team process. Collaborates extensively with physicians, nursing staff, other patient caregivers, and the medical records coding staff to improve quality and completeness of documentation of care provided and coded. Facilitates concurrent modifications to clinical documentation to ensure commensurate reimbursement of clinical severity and services rendered to patients with all payers.

  • Understanding and ability to apply ICD-9 and ICS-10 codes for reimbursement. 
  • Abilty to review physican documentation for adequate compliant coding.

Schedule: Full Time (40 hours / week)
Contact: Gayle Martinez
Phone: 575-751-5741
Email: gmartinez@taoshospital.org

Qualifications

The Clinical Documentation Improvement Professional may be but is not limited to:

  • Graduate from an accredited school of nursing required. BSN preferred.

• Current licensure to practice as a Registered Nurse in the State of New Mexico.
• Minimum of five (5) years direct clinical nursing experience required.
Certified Coding Speicalist with a minimun of 4 years inpatient coding experience.
• Working knowledge and understanding of ICD-10 CM and PCS
• Strong interpersonal communication skills required.
• Experience developing and presenting educational programs required.
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office Suite programs  required.
• Analytical skills required.
• Knowledge of Managed Care concepts and strategies and DRG reimbursement required.
Clinical Documentation Certification or obtainment of within 1 year of hire