Clinical Documentation Improvement Specialist

Join our Team!  NMC Health offers a family friendly environment with the latest technology and a knowledgeable staff. Here you'll find all departments work together as a team to live out our core values: respect, excellence, service, transparency, and trust.

This position reports to the Health Information Management (HIM), Manager.

This position is hourly (non-exempt).

Effective 6/21/23 there is no longer a need for either vaccination confirmation or a medical/religious exemption.

Position Summary: 

• This position must feel comfortable interacting with physicians and case managers
• Must be competent in diagnosis coding rules and able to identify clinical criteria to help validate diagnoses
• Must be able to assist providers with documenting to the highest level of specificity in medical record
• Must be able to query the provider when there is a conflict or inconsistency between clinical criteria and physician documentation 
• Help provider appeal denials concurrently through peer-to-peer or written appeal 
• This is not a remote position

QUALIFICATIONS:

Education and Experience:

• Licensed RN or LPN with 5 years experience and certified coder
  

Knowledge and Skills:

• Clinical coding with certification
• Excellent oral and written communication 

Licensure, registration and certification:

• RN or LPN