Clinical Documentation Integrity Specialist I Full Time Days

EDUCATION/EXPERIENCE

Include minimum education, technical training, and/or experience for the job.   

Required:

• Graduate from an accredited School of Nursing AHIMA accredited school, United States, or international school of medicine with RN or LPN, BSN or
• Graduate from an accredited School of Medicine with MD or MBBS (either foreign or domestic), 
• And have minimum of 1-year experience working as a CDI in an acute care hospital. 
• 0 to 2 years of CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting

Preferred:

• Graduate from an accredited Health Informatics program for Clinical Documentation
• 1 – 2 -years’ experience or more working as a CDI in an acute care hospital
• 3 - years’ experience or more in a clinical setting with patient care 
   

REQUIRED CERTIFICATIONS/LICENSURE

Include minimum certification required to perform the job.  

Required:

• RN, or LPN with an active license
• MD, or MBBS
• LVN, RHIA, RHIT, CCS, CIC, MD, DO, PA, or NP*. FMG/IMG (International Medical Graduate/Physician)

Preferred:

• BSN
• CDI related certificate (RHIA, RHIT, CCS, CDIP, CCDS) 
• USMLE Certificate
   

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below are representative of the knowledge, skill and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required: 

• Analytical ability and comprehensive knowledge base to gather and interpret clinical documentation data, to identify discrepancies, problems or issues, and to determine methods for ensuring compliance with clinical documentation policies and procedures.  Ability to analyze data for patterns and trends. 
• Strong critical thinking skills and ability to integrate knowledge.  Excellent observation, communication and decision-making abilities.  Strong presentation skills in order to articulate the program to physician and other health care professionals in order to educate and teach clinical documentation requirements and educate all members of the care team.   
• Ability to prioritize work, focus on completion of tasks and meet deadlines through strong organizational skills. cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously. Demonstrates motivation and can work as a focused, self-directed individual. 
•  High-level communication skills both verbal and written.  Ability to collaborate and use assertive interpersonal skills to discuss clinical documentation issues and work effectively with all levels of internal personnel such as coders, physicians, nursing and allied health professionals. 
• Demonstrated team player skills and encourage a spirit of cooperation among CDI team, clinicians, coders, physicians, etc., and direct others toward objectives that contribute to the success of the program. 
• Knowledge of clinical documentation guidelines, policies and procedures, and the requirements of compliant query and communication with clinicians. 
• Strong computer skills and knowledge of Email, Microsoft Word, Microsoft Excel or other software packages including database and spreadsheet programs. 

Preferred: 

• Demonstrated leadership skills
• Have experience working with Iodine, 3M encoder, Artifact or Cerner-Power Chart 
• Skilled in conflict resolution

#LI-RS1

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.