Clinical Documentation Improvement (CDI) Supervisor

Northside Hospital Inc.

$75K — $95K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in Nursing or equivalent clinical specialty program with clinical credential
  • Minimum of five years clinical experience or three years with an Associate’s degree
  • Two years of experience specifically in Clinical Documentation Improvement (CDI)
  • Current Registered Nurse license in Georgia or multistate license
  • American Heart Association Basic Life Support certification required

Responsibilities

  • Collect and analyze data to generate comprehensive hospital-wide reports
  • Participate in the planning and ongoing success of the Clinical Documentation Management Program
  • Educate the patient care team on documentation guidelines
  • Review medical records to ensure completeness of physician documentation
  • Assume 24-hour responsibility in the absence of the Manager

Benefits

  • Supportive work environment with opportunities for professional development
  • No weekend or on-call responsibilities
  • Engagement in a vital area of hospital operations
  • Opportunity to lead team education initiatives
  • Direct impact on patient care quality through improved documentation process
Full Job Description
Responsibilities

The CDI Supervisor Collects and analyzes data to provide reports for hospital wide use and to make recommendations as appropriate. Participates in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members. Assists with reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation and completeness of clinical documentation. In the absence of the Manager may assume 24-hour responsibility. 

Qualifications

REQUIRED:

  • Graduate from an accredited school of nursing with Bachelor’s in Nursing with five (5) years’ experience in clinical area OR graduate from an accredited clinical specialty program with an Associate’s degree or equivalent and clinical credential with the National Board, and three (3) years clinical care experience.
  • Current License in the State of Georgia as a Registered Nurse or Nursing Compact (NLC/eNLC) orMultistate License
  • Two (2) years of experience in CDI
  • Must hold American Heart Association Basic Life Support
  • Work Hours:7:00-3:30pm Weekend Requirements:No On-Call Requirements:No

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