JOB SUMMARY

The Clinical Documentation Lead uses clinical/nursing knowledge of documentation requirements to improve overall quality and completeness of clinical documentation of patient records on a concurrent basis using a multidisciplinary team process. Works collaboratively with physicians to ensure clinical information in medical record is present and accurate and with the Medical center coding staff to support that appropriate clinical severity is captured for the level of service rendered to all patients.

JOB REQUIREMENTS

Minimum Education Graduate of Accredited School of Nursing (Diploma, AD, BSN) Minimum Work Experience CDI Experience necessary; 3 years of recent experience in an acute care setting  Required Licenses/Certifications  Registered Nurse CCDS Certification Required Skills, Knowledge, and Abilities Strong clinical and critical thinking. Designated Driver No OSHA Category 3