Clinical Documentation Improvement Specialist

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact . If you have questions while submitting an application, please review these frequently asked questions.

Current Employees and Students:

If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:

Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.

Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.

Job Title:

Clinical Documentation Improvement Specialist

Department:

James Clinical Documentation Improvement

Scope of Position

The Clinical Documentation Improvement Specialist (CDIS) is a nurse 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 professional staff the additional documentation that may be required. The CDIS' 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.

Position Summary

This position supports initiatives to improve the quality of documentation by all professional staff within the Ohio State University Health System with specific emphasis on improving documentation used in the coding process. The CDIS follows JCAHO, Medicare and third party payor documentation guidelines and the official guidelines for assigning ICD-9-CM working diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation. The CDIS provides information and reports to the attending physicians and other health care providers in relation to the patient care documentation process, case mix index, and length of stay.

Minimum Education Required

Bachelor's Level Degree Required Qualifications Bachelor's degree in nursing. Minimum of recent 5 years clinical experience. Candidate must possess strong clinical skills and ability to identify areas for improvement in documentation in the medical record. Preferably with experience with medical record coding (ICD-9-CM; ICD-10-CM) and data analysis. Knowledge and experience with medical information computer applications, word processing and electronic spreadsheets. Ability to develop and deliver presentations to various health and financial professionals required.

Additional Information:

Location:

James Cancer Hospital (0375)

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.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

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

As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.

R142895