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Clinical Doc Improve Spec 3

Overview

*Remote CA*

 

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes
  • Direct impact on quality patient care
  • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas)
  • Free Continuing Education and certification including BLS, ACLS and PALS
  • Tuition reimbursement, education programs, and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • 403(b) retirement plan with up to 8% matching contributions 
  • Free parking and electric charging
  • Great food options with on-demand ordering

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here.

Responsibilities

The Clinical Documentation Improvement (CDI) Specialist 3 conducts reviews of patient medical records to ensure documentation is accurate and up-to-date. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. This role demonstrates clinical expertise and an extensive knowledge of complex diseases. Leads and educates members of the patient care team regarding documentation guidelines. Attends committee meetings, assists with training staff and contributes to the development of educational material.  

Qualifications

Education
  • One of the following is required
    • Associate's Degree or higher in Nursing
    • Doctor of Medicine (MD) from an accredited medical school
    • Doctor of Osteopathic Medicine (DO) from an accredited medical school
    • Medical Degree from a foreign medical school with successful completion of the USMLE Step 1 and Step 2 Exams
    • Bachelor's Degree in Nursing preferred
  Experience
  • 5 years of clinical experience in an acute hospital setting with demonstrated expertise in Med/Surg, OB, Trauma, ICU, and/or CCU required
  • 3 years of Clinical Documentation Improvement (CDI) experience required
  • Prior coding and lead/supervisor experience preferred
  Licenses and Certifications
  • RN - Current and valid Registered Nurse license to work within the state of California (if education is in Nursing) required
  • ECFMG - Educational Commission for Foreign Medical Graduates (if education is from a foreign medical school) required
  • One of the following is required
    • CCDS - Certified Clinical Documentation Specialist
    • CDIP - Certified Documentation Improvement Practitioner
    • CCS - Certified Coding Specialist preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Average salary estimate

$85000 / YEARLY (est.)
min
max
$75000K
$95000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Clinical Doc Improve Spec 3, Community Health System

At Community, we're excited to offer you an opportunity as a Clinical Documentation Improvement Specialist 3 in Fresno! This role is pivotal in enhancing the quality of patient care, as you will be responsible for reviewing medical records to ensure accurate documentation. Your expertise will help our teams capture the complexity of care and the severity of illness for our patients, directly impacting their treatment outcomes. We prioritize your professional growth, offering free continuing education including vital certifications such as BLS, ACLS, and PALS, as well as tuition reimbursement programs. The perks don’t stop there—enjoy time and a half after eight hours, with additional pay differentials for weekends and nights. Plus, your vacation time starts building right from day one, along with a 403(b) retirement plan featuring up to 8% matching contributions. We are proud to be recognized by Forbes as a top employer and to champion diversity within our workforce. If you’re ready to become an essential part of a supportive community dedicated to outstanding patient care, apply to join us now!

Frequently Asked Questions (FAQs) for Clinical Doc Improve Spec 3 Role at Community Health System
What are the responsibilities of a Clinical Documentation Improvement Specialist 3 at Community?

As a Clinical Documentation Improvement Specialist 3 at Community, your primary responsibilities include reviewing patient medical records for accuracy, facilitating physician documentation, and leading educational initiatives for the care team. You'll be instrumental in ensuring that the documentation reflects the patient's condition accurately, thereby supporting the severity of illness, expected risk of mortality, and complexity of care.

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What qualifications are needed for the Clinical Documentation Improvement Specialist 3 position at Community?

To be considered for the Clinical Documentation Improvement Specialist 3 position at Community, applicants must possess either an Associate's Degree in Nursing or a Doctor of Medicine (MD) degree, among other qualifications. A minimum of 5 years clinical experience in an acute setting along with 3 years of Clinical Documentation Improvement (CDI) experience is required, alongside necessary licensing and certification.

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Is there continuing education provided for Clinical Documentation Improvement Specialist 3 at Community?

Yes, Community offers free continuing education and certification opportunities, including BLS, ACLS, and PALS, for the Clinical Documentation Improvement Specialist 3 role. This commitment to professional growth ensures that our team remains updated with the latest standards and practices in patient care.

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What benefits can you expect working as a Clinical Documentation Improvement Specialist 3 at Community?

Working as a Clinical Documentation Improvement Specialist 3 at Community offers a plethora of benefits including competitive pay, time and a half after 8 hours, vacation time that accrues from day one, a retirement plan with matching contributions, and many more benefits focused on your well-being and professional development.

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Why is Community recognized as a top employer for the Clinical Documentation Improvement Specialist 3 position?

Community has been recognized as a top employer by Forbes due to its strong commitment to employee care, diversity, and professional development. The organization emphasizes the importance of its teams in delivering high-quality patient care, providing various resources and benefits that enhance the work experience and promote a positive culture.

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Common Interview Questions for Clinical Doc Improve Spec 3
What experience do you have with Clinical Documentation Improvement?

When discussing your experience with Clinical Documentation Improvement, focus on specific scenarios where you successfully identified documentation gaps and facilitated the necessary changes. Highlight your understanding of medical coding and compliance standards, as well as your ability to train and guide others on documentation best practices.

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How would you approach educating the medical staff about documentation guidelines?

In addressing how to educate medical staff about documentation guidelines, emphasize your strategies for effective communication. Discuss your experience in creating training materials or sessions, and how you tailor presentations to meet the needs of diverse audiences while ensuring compliance with documentation standards.

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Can you share an example of a complex case you managed and how you improved documentation?

To answer this question, choose a specific case where you played a significant role. Describe the complexities involved, your assessment of documentation needs, and the steps you took to ensure accurate documentation was captured. Highlight the outcomes and any improvements in patient care or compliance.

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What certifications do you hold that are relevant to the Clinical Documentation Improvement Specialist 3 role?

When asked about your certifications, mention any relevant credentials such as CCDS, CDIP, or CCS. Discuss how these certifications have equipped you with essential knowledge and skills to excel in clinical documentation improvement, including understanding coding and regulatory requirements.

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How do you stay current with changes in clinical documentation guidelines?

Discuss your methods for staying updated with clinical documentation guidelines, such as subscribing to relevant journals, participating in workshops, or completing continuing education courses. Emphasize your proactive approach in applying new knowledge to your work and sharing updates with your team.

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What do you believe is the biggest challenge in clinical documentation improvement?

In answering this question, you might mention common challenges such as capturing the complexity of patient cases accurately or ensuring consistency in documentation practices among staff. Discuss how you address these challenges through education, collaboration, and ongoing monitoring.

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Describe how you would handle discrepancies found in clinical documentation.

When handling discrepancies in clinical documentation, it’s important to approach each situation professionally. Describe how you would review the information, engage relevant healthcare providers to clarify documentation needs, and ensure all communication is documented thoroughly for compliance.

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What strategies do you use to collaborate with physicians and other healthcare staff?

Highlight the importance of building relationships through regular communication. Discuss how you initiate discussions about documentation needs and invite feedback, ensuring that your collaboration is a partnership focused on improving patient care through accurate documentation.

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How do you prioritize your tasks when managing multiple reviews at once?

In addressing task prioritization, emphasize your organizational skills. Describe how you assess urgency based on the complexity of cases and deadlines, and how you use tools or methodologies, such as creating a task list or workflow, to manage your workload effectively.

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Why do you want to work specifically for Community as a Clinical Documentation Improvement Specialist 3?

To answer this question, convey your admiration for Community’s values and commitment to patient care. Discuss how their focus on professional development and employee well-being aligns with your own professional goals and how you see yourself contributing to their mission of exceptional patient care.

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Community Health System is a private, not-for-profit, health system that employs more than 10,000 people. We've grown a lot since 1897 and we're not done yet. We're on a path toward becoming the model for excellence in healthcare, locally and nati...

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Full-time, remote
DATE POSTED
April 12, 2025

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