Clinical Documentation Improvement Specialist in Wakefield, Rhode Island at South County Hospital

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has received numerous distinctions for patient care and safety over the years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition reimbursement, 403b, PTO, and a broad range of career development benefits and opportunities.

Job Summary:

The Clinical Documentation Improvement Specialist will be responsible for facilitating and obtaining physician documentation for clinical conditions and procedures to support the appropriate Severity of Illness and expected risk of mortality and complexity of care of each inpatient. The achievement of this will be through extensive interaction with physicians, nursing staff, coding staff and other members of the health care team and review of all clinical data in the health care record.

Minimum Qualifications:

• Bachelor’s Degree in an allied health field of study or Foreign Medical Graduate
• Five or more years of experience in acute healthcare experience (Medical-Surgical, Critical Care, Emergency Care, etc.)
• Minimum of one year of experience in Clinical Documentation Integrity

Required Certifications, Licensure:

• Current/Active RN license in the United States

Preferred Qualifications/Additional Knowledge, Skills, Abilities:

• Two or more years of experience in Clinical Documentation Integrity is preferred
• ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Coding Specialist (CCS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) certification preferred
• Ability to build effective working relationships with physicians and other members of the health care team
• Strong clinical background
• Strong inpatient coding knowledge and application including ICD-10 coding, MS DRG, and APR DRG
• Knowledge of Patient Safety Indicators (PSI-90), Hospital Acquired Conditions (HAC), and Mortality Review
• Strong oral and written communication skills
• Strong MS Excel skills

Pay starting at: $41.27/hour