Clinical Documentation Integrity Specialist (Remote)

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!

Job Title:

Clinical Documentation Integrity Specialist (Remote)

Cost Center:

101651052 HIM-Clinical Doc Integrity

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; day shifts (United States of America)

Job Description:

JOB SUMMARY

The Clinical Documentation Integrity Specialist (CDS) facilitates accurate documentation in the medical record for patient care, risk of mortality/severity of illness, quality outcome measures, patient safety, and correct reimbursement. This individual provides extensive record review, interaction with physicians, APCs, health information management professionals, and coders. Active participation in team meetings and education of staff is a key role. The Clinical Documentation Integrity Specialist requires knowledge of pathophysiology and disease process, basic computer skills, regulatory requirements, Core Measure, and Patient Safety Indicators, as well as, critical thinking, and deductive reasoning skills.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: Associates Degree or Bachelor’s Degree in Nursing OR Bachelor’s Degree in Health Information Management.

Preferred/Optional: Bachelor’s Degree in Nursing.

EXPERIENCE 

Minimum Required: Five years of recent adult acute care experience in medical/surgical, critical care, emergency room, operating room, PACU, case management, or utilization review OR five years of hospital inpatient coding.

Preferred/Optional: None

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: Current state Registered Nurse license OR active credentials through AHIMA (RHIA).

Preferred/Optional: Active credential through ACDIS (Certified Clinical Documentation Specialist (CCDS) or CDI Apprenticeship) OR Active credentials through AHIMA (CCS).

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.