USRN Compact License_WFH !!

Job Description

The CDI Specialist uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation, including focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, as well as other identified projects. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. Participates in ongoing documentation improvement initiatives, including formal and informal education plans related to clinical documentation improvement to providers and the CDI team. Assist with onboarding and training new CDI team members.

Minimum Requirements

Bachelor's degree in nursing

Three to five (3-5) years of recent clinical work experience in the medical-surgical area, ICU, telemetry, or emergency department

Active USRN license

Solid background in fundamentals of nursing and medical & surgical nursing

Knowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI, CKD, etc.