Job Description

The CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and clinically accurate to meet the goals of the CDI program. The CDI Specialist serves as part of the team responsible for improving the concurrent documentation practices in the hospital through ongoing education and works with physician clinical documentation, coding and reimbursement processes towards achieving quality and productivity goals. Minimum of five (5) years clinical experience or coding/reimbursement experience in acute care environment Current CDI certification preferred (must obtain within 18 months of employment through Association of Clinical Documentation Improvement Specialists/ACDIS OR American Health Information Management Association/AHIMA) Experience in practice of clinical documentation: nursing health information, case management, quality management or similar related field

Required to work out of Steward Health Care office located in Richardson, TX with minimal travel requirements.

Knowledge of diagnoses/procedures in accordance with ICD-10

Ability to learn state, federal, and private reimbursement systems.
Ability to work effectively with physicians, nurses and ancillary staff in a collaborative manner
Ability to provide education to diverse group/teams within the healthcare environment.
Proficient in computer skills including charting software & excel.
Ability to analyze large amounts of date, identify problems, patterns, trends/facilitate improvement actions needed
Ability to multi-task and take initiative to suggest process improvements
Proven organization, analytical skills to identify patterns and trends.
Ability to read and communicate effectively in English

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Application Instructions

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