Clinical Documentation Improvement Specialist (REMOTE)-5

Job Title:

Clinical Documentation Improvement Specialist (REMOTE)-5 Department:
Shared Services | Clinical Document Integrity

The Clinical Documentation Improvement Specialist (CDIS) is a nurse or other clinically qualified individual who is responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation. Opportunities include identification of cases where diagnoses and procedures are either absent, not stated in appropriate terminology, or are not appropriately recorded. The CDIS will confer with the appropriate caregiver on the additional documentation that may be required.

The Documentation Specialist’s goal is to achieve a complete medical record by the time of patient discharge in order to ensure quality documentation that reflect the patients’ diagnoses, treatments, and severity of illness, and to facilitate and enhance the coding and DRG assignment process.

This position supports initiatives to improve the quality of documentation by all caregivers within the Ohio State University Health System with specific emphasis on improving documentation to support the coding process which ultimately improves the organization’s performance on quality measures and on the Case Mix Index (CMI) which is critical to the financial health of the organization. The CDIS follows The Joint Commission (TJC), Medicare and third party payer documentation guidelines and the official guidelines for assigning ICD-10-CM diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation.

The CDIS provides assistance to the attending physician and other health care providers in the patient care documentation process.

• Bachelor's Degree in Nursing.
• Registered Nurse.
• 2 years of relevant experience required.
• 2-4 years of relevant experience preferred.

Location:

Remote

Position Type:
Regular

Scheduled

Hours:

40

Shift: First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.

Ohio State benefits give you options to take care of what matters most to you — and opportunities to make adjustments as your life and needs change, including:

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

At Ohio State, you’ll find work that inspires you. We offer roles and growth opportunities in countless fields and specialties — including a job that’s right for you.

As Buckeyes, we accomplish more together. No matter your role, you’ll be part of creating what people need now: pathways to education, research and health care. Working at Ohio State means you’re part of a team with a strong sense of community and an unwavering commitment to excellence — and, of course, incomparable Buckeye spirit. We bring out the best in people, help each other succeed and learn together.

By joining Ohio State, you become part of a top-20 public university with one of America’s leading academic health centers. We’re a team of dedicated colleagues with access to boundless resources that support you.