Clinical Documentation Improvement Specialist RN (CDIS)

Schedule: Full Time Weekdays Only. Non Exempt.

Your experience matters
Twin County Regional Healthcare is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Clinical Documentation Improvement Specialist joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More about our Team

Our CDI team plays a strategic role in supporting quality outcomes, accurate coding, and data integrity across the hospital. Clinical Documentation Improvement Specialists collaborate directly with physicians and interdisciplinary teams to ensure documentation reflects severity of illness, risk of mortality, and the full scope of patient care.

How you’ll contribute

A Clinical Documentation Improvement Specialist (CDIS) who excels in this role:

• Facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation.
• Serves as local resource providing support, training, and continued education to all members of the health care team on documentation guidelines.
• Conducts timely follow up reviews of clinical documentation to ensure that issues discussed and issued queries have been answered by providers.
• Stays current with requirements of CMS Inpatient Prospective Payment Systems (IPPS), AHA Coding Clinic and Official Guidelines for Coding and Reporting related to ICD10.
• Performs charge audits monthly in order to satisfy the SOX audit process by analyzing patient records and comparing to patient bills.
• Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement by trending this information through the Chartwise system.

What we’re looking for: Applicants should possess one or a combination thereof of the following:

• Licensed Registered Nurse RN in state of Virginia (or compact state), RHIA, RHIT, or CCS certification.
• Prior experience in Case Management, CDI, and/or coding is preferred.
• Minimum of 5 years experience in clinical role or 2 years in inpatient coding in an acute care facility is required.
• Experience with ICD-10-CM, ICD-10-PCS and knowledge of CMS Inpatient Prospective Payment is preferred.

More about Twin County Regional Healthcare
Twin County Regional Healthcare (TCRH) is located in Galax, Virginia, which is in the center of the Twin Counties of Grayson and Carroll in Southwest Virginia. TCRH is a 141-bed facility that includes acute care, ambulatory care and emergency services. TCRH is considered a rural hospital that serves a large Medicare population, as well as, a total population of approximately 60,000. We operate within a 100-mile radius.

EEOC Statement
Twin County Regional Healthcare is an Equal Opportunity Employer. Twin County is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.