Clinical Documentation Integrity Specialist
Posted on: January 11, 2022
An RN who is responsible for the evaluation of physician
documentation utilizing their clinical expertise to ensure the
patients severity of illness is accurately portrayed in the medical
record for specificity of coding and increased coding accuracy.
They provide guidance to the physicians, nursing, and ancillary
staff on clinical documentation best practices.
Minimum Education and Experience
Associate Degree/Graduate of an accredited nursing
5 years acute-care experience in Med/Surg and or Critical Care.
Utilization Review, Case Management and/or coding experience.
Registered Nurse, current DE
Certification in Utilization Management, Case Management or
Certified Clinical Documentation Specialist
Basic computer literacy
Working knowledge of Microsoft Word, Lotus Notes, Clinical data
Special Knowledge, Skills, and/or Abilities
Strong concentration skills. Ability to sustain concentration to a
task over an extended period of time. Skill and proficiency in
applying Utilization, Quality case management and coding
Learning and memory :
Efficiency in processing information, either written or verbal.
Able to attend to and process multiple bits of information
Problem Solving :
Autonomy of thought. Ability to collect data, establish facts and
draw conclusions and take action as appropriate.
Performance under stress:
Ability to perform under stress when confronted with emergency or
Variety and Change:
Ability to perform a variety of duties often changing from one task
to another of varied nature, without loss of efficiency or
Ability to exchange information with others clearly and concisely
to present ideas, facts and clinical information; Must be
proficient in reading, writing, and speaking English .
Ability to maintain relationships that facilitate task
accomplishment, to cooperate and resolve conflicts, to recognize
needs and be sensitive to others.
Keywords: Bayhealth, Camden , Clinical Documentation Integrity Specialist, Healthcare , Camden, New Jersey
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