Clinical Documentation Integrity Specialist in Norfolk, Virginia at Childrens Hospital of The King's Daughters

The Clinical Documentation Integrity Specialist is responsible for reviewing inpatient medical records to assess and procure accurate and complete documentation of the patients’ diagnosis and procedures. Reports to department leadership.

• Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license required.

• Certified Documentation Improvement Professional (CDIP) or Certified Clinical Documentation Specialist (CCDS) certification or must be credentialed through AHIMA or ACDIS, within two years of start preferred.

• Registered Nurse -Professional knowledge of nursing theory and practice at a level normally acquired through the completion of an accredited School of Nursing.

• BSN preferred.

• Pediatric and or Clinical Documentation or Utilization Management preferred.

• Experience with applying clinical criteria to a medical record review with a Clinical Documentation Integrity focus.

• Knowledge of healthcare payment systems, specifically the MS-DRG, Tricare and APR-DRG reimbursement systems.

• Ability to form positive and collaborative relationships, with Physicians, HIM colleagues, the Physician Advisor and other hospital staff.

• Competent using Microsoft Office Suite, and different Electronic Medical Records.

• Requires Strong organizational, clinical critical thinking and analytical skills.

• Technical and professional knowledge and skills for clinical operations of the service area, usually acquired through 3 - 5 years’ progressive Clinical/Supervisory experience in a practice setting.