Clinical Documentation Specialist
Hourly Pay Range : $38.67 - $59.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights :
- Position : Clinical Documentation Specialist
- Location : Naperville, IL
- Full Time / Part Time : Full time
- Hours : Monday-Friday, [hours and flexible work schedules]
Position Summary :
The Clinical Documentation (CDI) Specialist is responsible for improving the overall quality and completeness of clinical documentation to ensure accurate coding, appropriate reimbursement, and compliance with regulatory requirements. This role involves working closely with physicians, healthcare providers, and coding staff to clarify and enhance the documentation of clinical information.
What You Will Do :
Review medical records concurrently to ensure accuracy, completeness, and specificity of clinical documentation. Identify and clarify missing, conflicting, or nonspecific physicians' documentation through queries and follow up. Collaborate with healthcare providers to ensure accurate and comprehensive documentation of patient diagnoses and treatments.Develop and implement effective query to resolve documentation issues. Ensure queries are clear, concise, and compliant with industry's standards and regulatory requirements. Track and follow up on outstanding queries to ensure timely responses. Query format and questions meet AHIMA and ACIDS guideline. Ensures adherence to professional standards, quality standards, licensure, and federal laws.Ensure clinical documentation complies with all applicable regulations and standards, including those set by CMS, Joint Commission, and other governing bodies.Provide education to the physicians and other clinical staff on documentation best practice and importance of accurate clinical documentation.Attend education programs, workshops, and one-one-one training to enhance continuous learning. Participate in professional organization such as the Clinical Documentation Improvement Specialist (ACDIS) or the American Health Information Management. Actively engage in mentoring relationships to support less experienced colleagues and contribute to professional development within the team.May include but not limited to special projects related to Revenue Cycle or Endeavor System workflow, process improvement or task forcesWhat You Will Need :
Education : Associate in Nursing or HIM is requiredExperience : 3-5 years RN experience Acute Care Hospital (critical care preferred)License / Certifications : Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) RequiredBenefits :
Career Pathways to Promote Professional Growth and DevelopmentVarious Medical, Dental, and Vision optionsTuition ReimbursementFree Parking at designated locationsWellness Program Savings PlanHealth Savings Account OptionsRetirement Options with Company MatchPaid Time OffCommunity Involvement OpportunitiesEndeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE : Race / Color / Sex / Sexual Orientation / Gender Identity / Religion / National Origin / Disability / Vets, VEVRRA Federal Contractor.
