Clinical Documentation Improvement Specialist - RN

Are you a Registered Nurse looking for a challenging and rewarding career opportunity? Deaconess Health System is seeking a Clinical Documentation Improvement Specialist to join our team and help promote accurate and complete clinical documentation. As an integral member of our healthcare team, you will play a crucial role in ensuring the quality of patient care and proper reimbursement for services provided. If you have a passion for improving healthcare outcomes and possess strong clinical knowledge and critical thinking skills, we encourage you to apply for this exciting opportunity.

1. Review and analyze patient medical records to identify areas for improvement in clinical documentation.
2. Collaborate with physicians and other healthcare providers to obtain accurate and complete documentation of patient diagnoses, procedures, and treatments.
3. Educate healthcare staff on the importance of accurate and complete clinical documentation and provide training on best practices.
4. Use coding guidelines and official coding conventions to assign appropriate codes for patient diagnoses and procedures.
5. Conduct regular audits of clinical documentation to ensure compliance with regulatory requirements and industry standards.
6. Develop and implement strategies to improve clinical documentation processes and outcomes.
7. Communicate with coding and billing teams to ensure accurate coding and proper reimbursement for services provided.
8. Maintain up-to-date knowledge of coding and documentation guidelines, regulations, and changes in the healthcare industry.
9. Serve as a resource for healthcare providers regarding documentation and coding guidelines.
10. Participate in quality improvement initiatives and provide suggestions for enhancing the overall quality of patient care.
11. Utilize critical thinking skills to identify potential risks and opportunities for improvement in clinical documentation.
12. Collaborate with interdisciplinary teams to develop and implement solutions for clinical documentation issues.
13. Adhere to all confidentiality and privacy policies and procedures related to patient information.
14. Maintain accurate documentation and provide reports on clinical documentation improvement activities.
15. Continuously evaluate and monitor the effectiveness of clinical documentation improvement processes and make recommendations for improvement.

According to JobzMall, the average salary range for a Clinical Documentation Improvement Specialist - RN in Evansville, IN 47710, USA is $65,000-$85,000 per year. However, this may vary depending on the individual's level of experience, education, and the specific healthcare facility they are employed at.

Deaconess was founded in 1892 by a group of Protestant ministers and laymen who felt called to care for the sick. More than 130 years later, Deaconess Health System continues to provide high-quality health care with a compassionate spirit, just as our founders envisioned. Deaconess Health System is the premier provider of health care services to 35 counties in three states (IN, IL, and KY). The system consists of eleven hospitals located in southern Indiana: Deaconess Midtown Hospital, Deaconess Gateway Hospital, The Women’s Hospital, The Heart Hospital, The Orthopedic and Neuroscience Hospital, Deaconess Cross Pointe, Deaconess Gibson Hospital, Deaconess Henderson Hospital, Deaconess Union County Hospital, Encompass Health Deaconess Rehabilitation Hospital, and the Linda E. White Hospice House.