Clinical Documentation Improvement Specialist

Shift: Day
Schedule: Full - Time Regular

Position Summary:

The Clinical Documentation Improvement (CDI) Specialist facilitates the communication between physicians and other inhouse users of clinical documentation through a process of documentation improvement that involves review, education, and collaboration with physicians, other clinicians, and co-workers.  These activities are an integral part of the HackensackUMC at Pascack Valley Clinical Documentation Improvement Program. The goal of the program is to ensure compliance with regulatory, accreditation, and facility guidelines that results in appropriate documentation of care rendered, appropriate documentation of medical necessity, and accurate post-discharge assignment of DRG.

Position Qualifications:

  • Bachelor's degree required
  • Minimum of 2 years of experience in acute-care setting
  • RN, LPN, RHIA or RHIT Required; CCS preferred 
  • Excellent observation, analytical-critical thinking &  problem solving skills
  • Effective oral and written communication skills
  • Ability to solve problems effectively and manage multiple priorities accurately
  • Ability to assess, evaluate, and  teach  physicians and other healthcare professionals
  • Inpatient hospital coding or clinical experience
  • Works well in a team environment
  • Able to work with a diverse group of people



We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.