Clinical Documentation Improvement Specialist

Are you passionate about improving the quality of patient care and ensuring accurate medical records? Do you have a keen eye for detail and a strong understanding of medical terminology and coding? If so, then we have an exciting opportunity for you as a Clinical Documentation Improvement Specialist at BJC HealthCare. As a vital member of our team, you will play a crucial role in optimizing patient outcomes and reimbursement through accurate and complete documentation. If you are ready to make a meaningful impact on the healthcare industry and have the necessary qualifications, we encourage you to apply and join our dedicated team.

1. Review and analyze medical records to identify opportunities for improvement in documentation.
2. Collaborate with healthcare providers to improve the accuracy and completeness of medical documentation.
3. Educate and train healthcare providers on proper documentation practices and guidelines.
4. Conduct regular audits of medical records to ensure compliance with regulatory and coding requirements.
5. Identify and report documentation deficiencies and discrepancies to appropriate parties for resolution.
6. Utilize strong knowledge of medical terminology and coding to accurately assign diagnosis and procedure codes.
7. Stay updated on coding and documentation guidelines and regulations to ensure compliance.
8. Communicate and collaborate with interdisciplinary teams to ensure accurate and complete medical documentation.
9. Participate in departmental meetings and trainings to share knowledge and best practices.
10. Continuously monitor and report on the effectiveness of clinical documentation improvement initiatives.
11. Provide support and guidance to healthcare providers on queries related to documentation.
12. Serve as a resource for coding and documentation questions or concerns.
13. Maintain confidentiality of patient information in accordance with HIPAA regulations.
14. Adhere to organizational policies and procedures related to clinical documentation and coding.
15. Participate in quality improvement initiatives to enhance overall patient care and outcomes.

According to JobzMall, the average salary range for a Clinical Documentation Improvement Specialist in St. Louis, MO, USA is $65,000 - $90,000 per year. However, this can vary depending on factors such as experience, education, and specific job responsibilities.

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, serving metro St. Louis, mid-Missouri and Southern Illinois. In 1993, Barnes-Jewish Inc., an urban, academic medical center affiliated with Washington University School of Medicine; and Christian Health Services, a suburban community hospital network, merge to form BJC Health System.