The Clinical Documentation Integrity Specialist facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other healthcare team members. This role involves communicating with providers via discussion or compliant queries to address unclear or conflicting diagnoses and ensuring documentation accurately reflects the patient’s clinical conditions and level of service.
Requirements summary
Candidates must possess a minimum of one year of inpatient coding experience or experience as a Clinical Documentation Integrity Specialist in an acute care setting, along with strong knowledge of MS-DRG, APR-DRG, and ICD-10-CM/PCS coding guidelines. A Medical degree or Bachelor of Science in Nursing is preferred, and certification (CCDS or CDIP) is required within one year of hire.
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No matter what department you belong to, the work you do at Emanate Health affects lives.
When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.
On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
Job Summary The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team.
The CDIS ensures that documentation accurately reflects the patient’s clinical conditions and level of service.
The CDIS communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses.
The role includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs).
The CDIS applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics.
Job Requirements Minimum Education Requirement: Medical degree or Bachelor of Science in Nursing (BSN) preferred.
Minimum Experience Requirement: Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting.
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines.
Experience using encoder and electronic health record (EHR) systems.
Excellent verbal and written communication skills.
Strong analytical thinking, problem-solving abilities, and attention to detail.
Proficiency in Microsoft Office applications preferred.
Minimum License Requirement: ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer.
Delivering world-class health care one patient at a time.
Pay Range: $69.00 - $69.00 We are more than just a health system.
At Emanate Health, we are a catalyst for change and a beacon for healthier lives.
When you come to any one of our locations, you'll be treated like family.
And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness.
Our mission Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.
Our vision We are an integral partner in elevating our communities' health.
Our values Patients and their families are the reason we are here.
We want them to experience excellence in all we do through the quality of our services, our teamwork, and our commitment to a caring, safe and compassionate environment.
Respect.
We affirm the rights, dignity, individuality and worth of each person we serve and of each other.
Excellence.
We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do.
Compassion.
We care for each person and each team member as part of our family.
Integrity.
We believe in fairness and honesty and are guided by our code of ethics.
Stewardship.
We wisely care for the human, physical and financial resources entrusted to us.
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