What are the responsibilities and job description for the CLINICAL DOCUMENTATION SPECIALIST EXEMPT -CDI position at East Alabama Medical Center Health System?
EAMC MISSION
- At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.
- POSITION SUMMARY
- The CDI Specialist performs clinically based initial, concurrent, and retrospective review of inpatient medical records to evaluate documentation as it correlates to the utilization of acute care services. The CDI Specialist employs critical thinking skills to discern Physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Assumes the responsibility and accountability for improving the overall quality and completeness of clinical documentation to aid in compliant reimbursement for acute care services and in reporting quality of care outcomes.
- POSITION QUALIFICATIONS
- Minimum Education
- Associates Degree RN
Minimum Experience- 3-5 years Healthcare related experience
Required Registration/License/Certification- Registered Nurse Licensure
Preferred Education- Bachelor's Degree in Nursing and/or formal training in Medical Records Coding and/or Clinical Documentation
Preferred Experience- 5 years Registered Nurse Experience
Preferred Registration/License/Certification- Certified Clinical Documentation Specialist
Other Requirements- N/A
- Minimum Education
