Senior Clinical Documentation Improvement Specialist (Exempt)

Welcome to Mercy, a leading healthcare organization dedicated to providing compassionate and high-quality care to our patients. We are currently seeking a Senior Clinical Documentation Improvement Specialist (Exempt) to join our team and play a crucial role in ensuring accurate and comprehensive clinical documentation. As a Senior CDI Specialist, you will have the opportunity to utilize your expertise and leadership skills to positively impact patient outcomes and support our mission of providing exceptional healthcare services. This role requires a highly skilled and experienced professional with a strong understanding of healthcare coding and documentation standards. If you are passionate about making a difference in the lives of patients and are looking for a challenging and rewarding career, we invite you to apply for this position at Mercy.

1. Conduct comprehensive reviews of patient medical records to ensure accurate and detailed clinical documentation.
2. Collaborate with physicians, nurses, and other clinical staff to identify opportunities for improvement in documentation and provide education and training as needed.
3. Serve as a subject matter expert on coding and documentation standards, including ICD-10-CM, CPT, and DRG guidelines.
4. Stay updated on industry changes and trends related to clinical documentation improvement and coding.
5. Analyze data and provide regular reports on documentation improvement efforts, including areas of success and areas for improvement.
6. Act as a resource for coding and billing inquiries and provide guidance on documentation and coding best practices.
7. Develop and implement policies and procedures related to clinical documentation improvement to ensure compliance with regulatory requirements.
8. Mentor and train junior CDI specialists and provide guidance and support in their professional development.
9. Collaborate with other departments and teams to identify and implement process improvements related to clinical documentation and coding.
10. Maintain confidentiality and adhere to ethical standards in all aspects of the job.
11. Serve as a liaison between clinical staff and coding/billing departments to ensure accurate and timely reimbursement for services.
12. Participate in audits and external reviews to ensure compliance with coding and documentation standards.
13. Promote a culture of continuous improvement and accountability for accurate and complete clinical documentation.
14. Act as a patient advocate by ensuring accurate and comprehensive documentation that reflects the quality of care provided.
15. Support the organization's mission of providing exceptional healthcare services by promoting accurate and complete clinical documentation.

According to JobzMall, the average salary range for a Senior Clinical Documentation Improvement Specialist (Exempt) in Rogers, AR, USA is $78,000 - $120,000 per year. However, this can vary depending on factors such as experience, education level, and specific job responsibilities.

Mercy Health Foundation is a nonprofit organization dependent on the generosity of caring individuals to support Mercy’s mission of delivering compassionate care and exceptional service to the St. Louis community.