Clinical Documentation Improvement (CDI) Supervisor

Northside Hospital

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's in Nursing with 5 years of clinical experience, or Associate's with clinical credential and 3 years' experience.
  • Current Registered Nurse license in Georgia or multistate license.
  • Minimum of 2 years experience in Clinical Documentation Improvement (CDI).
  • Certification in Basic Life Support from the American Heart Association.

Responsibilities

  • Collect and analyze data for hospital-wide reports and recommendations.
  • Participate in the planning and implementation of the Clinical Documentation Management Program.
  • Educate patient care team members on documentation guidelines.
  • Review medical records to ensure accurate physician documentation for clinical conditions.
  • Improve the quality and completeness of clinical documentation.
  • Assume 24-hour responsibility in absence of the Manager.

Benefits

  • Standard work hours with no required weekends or on-call duties.
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) or Multistate License 
  • Two (2) years of experience in CDI
  • Must hold American Heart Association Basic Life Support
  •  

    Work Hours:8-5 Weekend Requirements:No On-Call Requirements:No

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