JOB DESCRIPTION SUMMARY :
Under the supervision of the Director of Quality and Patient Safety (GBMC), the Clinical Documentation Improvement Specialist is responsible for supporting the reduction of hospital-acquired conditions (MHACs and PSI-90s). Through review of clinical quality outcomes, supports and coaches providers in accurate documentation. Conducts review of assigned hospital acquired conditions and collaborates with the quality, coding, and clinical teams to improve outcomes. Conducts education and training on effective, compliant clinical documentation. Assesses documentation gaps and formulates appropriate CDI educational tools to support measurable improvement. Identifies quality of care trends and issues and reports them to the Director of Quality and Patient Safety (GBMC).
Education
Bachelor’s Degree preferred
Experience
At least three years’ experience as a Clinical Documentation Specialist and/or educator
Knowledge, Skills and Abilities
Licensures, Certifications
Physical Requirements
Working Conditions
Senior Clinical Documentation Improvement Specialist • Baltimore, MD
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