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CLINICAL DOCUMENTATION SPECIALIST EXEMPT -CDI

East Alabama Medical Center
Full-time
On-site
Opelika, Alabama, United States
CLINICAL DOCUMENTATION SPECIALIST EXEMPT -CDI
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

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