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Senior Clinical Documentation Improvement Specialist (Exempt)

Mercy -
Fort Smith, AR

Apply Now

Job Details

Full-time
6 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
Retirement plan

Qualifications

Collaborate with healthcare professionals
Committee work
Employee relationship building
Care documentation
Data summary reports
Healthcare privacy protection
Clinical data report preparation
Mentoring
Health record chart audits
Relationship management
Clinical documentation improvement
Typing
Productivity software
Clinical documentation standards
Clinical data analysis
Data analysis software
Team building

Full Job Description

Fort Smith, Arkansas
Support Services
Information Technology
Regular
Full-time
Remote
JR261694

Job Description

Find your calling at Mercy!

This position is an advanced CDI role. The Senior Clinical Documentation Specialist coworker is responsible for assisting in the overall integrity of the medical record documentation primarily by conducting reviews of inpatient medical records to identify missing, vague, and/or incomplete components; communicates the need for additional documentation to the appropriate clinical provider and/or coding; ensures the additional documentation is completed in a timely manner; works collaboratively other departments including coding, quality, compliance, the medical staff, utilization review/case management, and any other applicable departments to improve the quality of provider documentation; supports initiatives to improve the quality of documentation by all caregivers.
This position provides data reports and educational support for required documentation elements to inpatient healthcare providers.
Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details:

Senior Clinical Documentation Improvement Specialist

Full-Time

Remote

Mercy - Fort Smith

Minimum Required Qualifications
Education:
RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP
Experience:
3 years CDI experience and 1 year in nursing, inpatient coding, UM, CM, Quality, or related field
Other Skills and Knowledge:

Demonstrates proficiency of the Clinical Documentation Specialist role
Detailed data analysis, ability to present complex data or education to providers individually or in front of a group
Excellent critical thinking skills with the ability to quickly make decisive decisions from limited written and/or oral information, excellent reading comprehension
Strong clinical knowledge and ability to identify diagnoses based on clinical data
Extensive knowledge of disease processes and clinical outcomes.
Experience with computer programs (EXCEL, Word, PowerPoint)
Advanced knowledge of healthcare regulations, including reimbursement, documentation requirements, and quality measures
Skilled in record review with ability to interpret clinical data
Assist in special projects and committees
Excellent communication skills (written and verbally) and comfortable speaking in groups.
Ability to plan and organize workflow in order to meet deadlines
Must have strong computer skills including typing ability.
Ability to produce reports using multi-formats and software
Ability to interpret various data reports and present data findings / report to medical staff committees as needed
Ability to establish cooperative working relationship with diverse groups and individuals, medical staff and other health care disciplines and interact with all levels of employees
Ability to mentor lower-level CDI Specialists
Ability to work flexible work schedules to accommodate provider rounding schedules and required medical staff presentations
Ability to work with minimum supervision; organizational and administrative skills; function in a stressful environment; encourage and assist with team building; and the ability to maintain the confidentiality of sensitive information, both patient and employee

Preferred Qualifications
Education:
RN, BSN, RHIA, RHIT, CCS, CPC, CIC
Experience:
3-5 years CDI experience
Certification/Registration: CCDS (Certified Clinical Documentation Specialist) from ACDIS or CDIP (Certified Documentation Improvement Practitioner) from AHIMA preferred

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

keyword(s): Senior Clinical Documentation Improvement Specialist

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Job Description

Find your calling at Mercy!

Position Details:

Why Mercy?

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