Clinical Documentation Specialist Exempt -Cdi

Summary

• 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