Clinical Documentation Improvement Nurse

Job description

Under limited supervision from the Director of Primary Care and Senior Director of Population Health, the Clinical Documentation Improvement (CDI) Nurse will assist GBMC Health Partners physicians and advanced practicing clinicians to accurately document patient clinical acuity and illness burden to improve risk management efforts. The CDI Nurse will review patient records, including ICD-10 diagnoses and Hierarchical Condition Categories (HCC) to identify and act on opportunities for improvement. This resource will also educate and work with providers, system leaders, and EPIC staff to maximize documentation accuracy and efficiency. Education Associate Degree in Nursing (ADN) with relevant experience required. Bachelor of Science (BSN) preferred. Experience: - Minimum of 5 years clinical nursing experience, preferably in outpatient or internal medicine settings. - Experience in clinical documentation improvement (CDI), coding, or quality initiatives. - Proven track record of collaborating effectively with physicians, coding teams, and interdisciplinary healthcare professionals. - Demonstrated experience in providing provider education or training on clinical documentation or qualit...