Clinical Documentation Improvement Specialist Registered Nurse - McLaren Central

Qualifications:

Required

·         Current Registered Nurse License in the State of practice

·         Minimum 5 years of acute hospital care experience

·         Certified Clinical Documentation Specialist (CCDS), or obtain certification when eligible as defined by the Association of Clinical Documentation Improvement Specialists – ACDIS, and maintenance of continuing education requirements

·         Member (or obtain within 1 year of service) with the Association of Clinical Documentation Improvement Specialists (ACDIS)

Preferred: 

•  CDIP certification
•  Experience with CDI Software Tools (i.e. 3M 360, JATA, ChartWise, other)
• Knowledge of coding/documentation and billing regulations related to commercial insurance, Medicaid and Medicare. (i.e., APR-DRG, MS-DRG, Medicare, Medicaid & Managed Care)
• Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality management preferred. Inpatient coding experience desired.

Knowledge, Skills, and Abilities:

·         Ability to analyze data for patterns and trends. 

·         Ability to prioritize work, focus on completion of tasks and meet deadlines through strong organizational skills. 

·         Ability to use computer systems; computer skills and knowledge of various software packages including database and spreadsheet programs.

·         Able to spend majority of time utilizing a computer, monitor, keyboard and mouse; and ability to type.

·         Analytical ability to gather and interpret data, to evaluate reports and track progress of initiatives and to determine methods for ensuring coding compliance.

·         Demonstrated leadership skills through professionalism as a team player

·         Excellent observation, communication and decision-making abilities. 

·         High degree of interpersonal skills to effectively communicate with physicians, management and coding staff. 

·         Must be able to work independently, and utilize problem solving techniques and critical thinking skills.

·         Knowledge of ICD-10-CM/PCS and MS-DRG, medical terminology and anatomy.

·         Knowledge of clinical documentation guidelines, policies and procedures, and the requirements of third party payers most frequently seen with the hospital inpatient population

·         Experience with Electronic Medical Records (i.e. Cerner, Epic, Paragon, Meditech etc.)

·         Experience with Microsoft Office (i.e. Word, Excel, Outlook and Power Point)

·         Must be able to travel to various locations as needed.