Offer summary

Qualifications:

Associate or Bachelor's Degree in Nursing (RN) required., Minimum of 5 years of acute care experience, preferably in Medical Surgical or ICU., Recent CDI experience of 3+ years is preferred., Active RN license in a multi-state or compact license..

Key responsibilities:

Review inpatient medical records concurrently to identify documentation opportunities.

Collaborate with healthcare providers to improve clinical documentation accuracy.

Utilize coding software to assign ICD-10 codes based on documentation.

Educate medical staff on documentation best practices and compliance.

Job description

City/State

Norfolk, AL

Work Shift

First (Days)

Overview:

The Sentara CDI Team is expanding! This summer we will implement Aware CDI by Iodine. We are seeking to expand our team with a Clinical Documentation Specialist RN, with 3 years+ CDI experience. Iodine experience is a plus!

The Clinical Documentation Improvement Specialist (CDS) is a highly knowledgeable RN who is responsible for concurrent review of provider in-patient medical record documentation. Reviews include reviewing records, with identified opportunities.

Responsible for facilitation of modifications to clinical documentation through concurrent interaction with providers, and other members of the healthcare team, to ensure that appropriate clinical severity of illness and risk of mortality is captured for the level of service rendered.

The CDS is responsible for communicating to providers to ensure timely and accurate documentation and then utilizing specific software, to code the documentation utilizing ICD-10 codes. Additionally, the CDS provides education and training as needed with the medical staff.

The CDS utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation in the medical record used for measuring and reporting physician/provider hospital outcome.

Education

RN Associate Level Degree or Bachelors of Nursing Degree
RN- Diploma

Certification/Licensure

RN Nursing License Compact or Multi-state RN License

Experience

Five (5) years Acute Care experience in Medical Surgical or ICU
Prefer recent CDI experience, 3+ years
Microsoft Office
Strong Communication Skills

Remote Eligible candidates must be residents of the following approved states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming

Clinical Documentation Registered Nurse CDI Iodine Remote

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Required profile