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Infirmary Health

Clinical Documentation Improvement II (Exempt)

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What they do

A Clinical Documentation Specialist works with information technology systems and applications in health care organizations. Assists clinicians and staff with technology and implementing new systems. Creates systems for organizing and interpreting data and information for clinical trials. Records and manages clinical information about patients, including health assessments and diagnoses, test results, treatments, and follow up care requirements. Reviews and maintains patient records.

$76,638 / year median in Alabama

-2% projected decline

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Job Description

Clinical Documentation Improvement II (Exempt) Infirmary Health - 3.3 Mobile, AL Job Details Full-time 4 hours ago Qualifications Spreadsheets Presentations for conferences or internal meetings Clinical documentation Health information regulatory compliance Computer skills Clinical documentation improvement Health information management Clinical documentation standards Data analysis software
Full Job Description Overview:
Qualifications:
Minimum Qualifications:
One of the following: Graduation from an accredited RN program with recent hospital experience Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT)
ALSO:
1 or more years' experience working in Clinical Documentation Improvement Completed Clinical Documentation Improvement Bootcamp Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement Working knowledge of data analysis and personal computer spreadsheet software Well-developed leadership and interpersonal skills Polished presentation skills Well-developed written and oral communications skills
Desired Qualifications:
One of the following: Current Alabama RN license Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama• Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Infirmary Health abides by the NLC requirements and guidelines for the state of
Alabama Responsibilities:
This position operates within Infirmary Health (IH) guidelines with the goal of enhancing the overall quality and completeness of clinical documentation by performing concurrent reviews of medical records to ensure accurate inpatient coding and appropriate DRG (Diagnosis-Related Group) assignment, identifying opportunities for process improvement, and supporting the timely and accurate capture of data to enhance patient outcomes.