Outpatient CDI Specialist (RN)

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Join Team Tidelands and help people live better lives through better health!

Clinical Documentation Improvement Specialist (RN) (3419)
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.

A Brief Overview
The Clinical Documentation Improvement Specialist (RN) is a hybrid role that combines the expertise of clinical documentation improvement (CDI) and outpatient Hierarchical Condition Category (HCC) coding. This position will report to the Outpatient CDI Program Manager. This position focuses on improving the accuracy, quality, and completeness of clinical documentation in outpatient medical records while ensuring compliance with coding guidelines. The specialist will work collaboratively with providers, coding teams, and other healthcare professionals to facilitate accurate coding, improve risk capture, and optimize reimbursement while reflecting the true severity of illness and care provided.

Education Qualifications

• BSN and a minimum of five years clinical nursing experience Required

Experience Qualifications

• At least 3 or more years' experience either in the clinical field (RN), CDI field, or coding field Required
• Experience in an outpatient or acute care setting Required
• 1 or more years' experience in HCC/Risk Adjustment Preferred
• Minimum of 3 years of experience in clinical documentation improvement, outpatient Hierarchical Condition Category (HCC), or a combination of both Preferred

Skills and Abilities

• Strong clinical experience and critical thinking skills required
• Extensive knowledge of patient care, and knowledge of clinical measurement, tools, and clinical outcomes
• Ability to establish cooperative, working relationships with diverse groups and individuals, medical staff and other healthcare disciplines
• Ability to work independently, be resourceful, and possess strong organizational skills
• Ability to communicate effectively with physicians and other clinical staff; be courteous and professional

Licenses and Certifications

• Registered Nurse - South Carolina Department of Labor, Licensing and Regulation Required
• Certified Professional Coder - American Academy of Professional Coders within 1 Year Required or
• Certified Coding Specialist - American Health Information Management Association within 1 Year Required or
• Certified Clinical Documentation Specialist  - Association of Clinical Documentation Integrity Specialist within 1 Year Required

Physical Demand
Light Physical Demand
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.

Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.