Clinical Documentation Improvement Specialist (CDI)

The Clinical Documentation Improvement Specialist is responsible for performing concurrent review of the patient health record to ensure complete, accurate and specific clinical documentation necessary for understanding the patient's severity of illness. In this role, the CDI Specialist must adhere to CMS Coding Guidelines to determine the principle diagnosis, principle procedure and all secondary diagnoses. The CDIS is responsible for clarifying conflicting, incomplete, or imprecise documentation by actively querying the responsible Provider during the patient episode. When trends related to documentation of a specific Provider or diagnosis are identified, the CDIS is charged with providing education and training to address the deficit.

• BSN required, OR a Bachelor's in Health Information Management or related field with at least 3-5 years of coding experience, or Associate's Degree with 5 or more years of Coding or CDI experience. Foreign or Domestic Medical Graduate with 3-5 years CDI experience will be considered.
• Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD coding classification systems is preferred.

• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.
• Ability to use a standard desktop and windows based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable.
• Must be comfortable functioning in a virtual, collaborative, shared leadership environment

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.